NPI 1093565590

Residecare LLC

Organisation Physical Disabilities Residential Treatment Facility Ypsilanti, MI

Practice location

Address: 1161 Nash Ave, Ypsilanti, MI 48198-6291
Phone: (734) 460-2558
Fax: (734) 533-6066
Mailing address: PO Box 970235, Ypsilanti, MI 48197-0031

Authorised official

Name: Susan Catherman
Title: Credentialing
Phone: (267) 767-6851

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

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Registry record

NPI: 1093565590
Entity type: Organization
NPI issued: 26 Mar 2024
Record last updated: 26 Mar 2024

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.