Packard Specialized Residential

NPI #1225633035 in Burton, Michigan

Provider Information

NPI Number
1225633035
Entity Type
Organization
Organization Name
Packard Specialized Residential
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 1, 2020
Last Updated
Dec 1, 2020

Practice Location

Address
1173 S PACKARD AVE
City
Burton
ZIP Code
48509-2311
Phone
(810) 288-2226

Authorized Official

Name
MR. MITCHELL F NAEGELE
Title
ADMINISTRATOR
Phone
(810) 288-2226

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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