Whalio Doctors

NPI 1255583530

Bentley Manor, INC.

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

Practice location

Address
2099 W Wilson Rd, Clio, MI 48420-1603
Phone
(810) 686-4858
Fax
(810) 686-4674

Authorised official

Name
Melissa Marie Bentley
Title
Licensee / Ceo
Phone
(810) 686-4858

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence AS250010929 (MI)

Registry record

NPI
1255583530
Entity type
Organization
NPI issued
17 Oct 2008
Record last updated
17 Oct 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.