Dean'S Manor Inc. in St.clair Shores - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Dean'S Manor Inc. - NPI 1508964255
Dean'S Manor Inc. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in St.clair Shores, Michigan. Dean'S Manor Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Dean'S Manor Inc. is 1508964255. The last update date is 2020-08-22.
Dean'S Manor Inc.'s current location address is 22745 Jefferson, St.clair Shores, Michigan. You can contact this provider via phone number 3133889648 and fax number 3133884013. The mailing address for Dean'S Manor Inc. is 22745 Jefferson, St.clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dean'S Manor Inc. |
|---|---|
| Address | 22745 Jefferson, St.clair Shores, Michigan |
| Phone Number | 3133889648 |
| Fax Number | 3133884013 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Jordan-Roberson Deshone Dena |
| Telephone Number | 3133889648 |
NPI Number Detail
| NPI Number | 1508964255 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 22745 Jefferson |
|---|---|
| City | St.clair Shores |
| State | Michigan (MI) |
| Post Code | 48080 |
| Phone Number | 3133889648 |
| Fax Number | 3133884013 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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What is the unique identifier code issued to Dean'S Manor Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Dean'S Manor Inc. has been assigned the NPI (National Provider Identifier) 1508964255. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Dean'S Manor Inc. located?
The Dean'S Manor Inc. is located at 22745 Jefferson, St.Clair Shores, MI 48080.
What is the Dean'S Manor Inc.'s specialty and taxonomy code?
The Dean'S Manor Inc.'s specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
When was the Dean'S Manor Inc.'s 1508964255 issued?
The Dean'S Manor Inc.'s 1508964255 was issued on 2006-09-20.
When was the Dean'S Manor Inc.'s information last updated?
The Dean'S Manor Inc.'s information was last updated on 2020-08-22.