Bolton Brook Manor

NPI #1497364442 in Metamora, Michigan

Provider Information

NPI Number: 1497364442
Entity Type: Organization
Organization Name: Bolton Brook Manor
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Jul 27, 2020
Last Updated: Jul 27, 2020

Practice Location

Address: 4554 THOMAS RD
City: Metamora
State: Michigan
ZIP Code: 48455-9220
Phone: (810) 678-2087

Authorized Official

Name: MR. SUNIL R BHATTAD
Title: ADMINISTRATOR
Phone: (248) 797-8519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility - Adult Care Home — Adult Care Home	311ZA0620X
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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