NPI 1033635891

Packard Group INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Detroit, MI

Practice location

Address: 731 Pallister St, Detroit, MI 48202-2418
Phone: (313) 872-7826
Fax: (313) 731-1771
Mailing address: PO Box 2066, Southfield, MI 48037-2066

Authorised official

Name: Gladys Marie Sledge
Title: Provider
Phone: (313) 350-4731

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Michigan →

Registry record

NPI: 1033635891
Entity type: Organization
NPI issued: 14 Aug 2017
Record last updated: 14 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.