NPI 1205593563

Phillips Manor Room and Board

Organisation Foster Care Agency Detroit, MI

Practice location

Address: 16215 Ferguson St, Detroit, MI 48235-3440
Phone: (313) 333-5989

Authorised official

Name: Charles Phillips
Title: Administrator
Phone: (313) 333-5989

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X

Other Foster Care Agency providers in Michigan →

Registry record

NPI: 1205593563
Entity type: Organization
NPI issued: 22 Nov 2021
Record last updated: 22 Nov 2021

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.