Phillips Manor Room and Board

NPI #1205593563 in Detroit, Michigan

Provider Information

NPI Number: 1205593563
Entity Type: Organization
Organization Name: Phillips Manor Room and Board
Primary Specialty: Foster Care Agency
Enumeration Date: Nov 22, 2021
Last Updated: Nov 22, 2021

Practice Location

Address: 16215 FERGUSON ST
City: Detroit
State: Michigan
ZIP Code: 48235-3440
Phone: (313) 333-5989

Authorized Official

Name: MR. CHARLES PHILLIPS JR.
Title: ADMINISTRATOR
Phone: (313) 333-5989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Foster Care Agency	253J00000X	Primary

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