NPI 1093990384
Macomb Residential Opportunities, INC.
Practice location
- Address
- 2 Crocker Blvd Suite 205, Mount Clemens, MI 48043-2528
- Phone
- (586) 469-4480
- Fax
- (586) 469-4799
Authorised official
- Name
- Ted Edward Devantier
- Title
- Executive Director
- Phone
- (586) 469-4480
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1093990384
- Entity type
- Organization
- NPI issued
- 4 Jan 2008
- Record last updated
- 4 Jan 2008
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.