Susan Beckwith
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Leonard, MI. Individual provider (NPI-1).
NPI number1669901641
StatusActive
Last updated in NPPESJun 5, 2017
Details
- NPI
- 1669901641
- Entity type
- Individual (NPI-1)
- Name
- Susan Beckwith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2017
- Last updated
- Jun 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | AF630287239 | MI | Yes |
Practice location
2230 Rochester RdLeonard, MI 48367-3002
Phone 248-083-0619 · Fax 248-628-7123
Mailing address
2230 Rochester RdLeonard, MI 48367-3002
Phone 248-628-7123 · Fax 248-628-7123
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