Organization · Type 2 NPI
Pdhcrc, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jackson, MI
Practice location
2111 Bondsteel Dr.
Jackson, MI 49202
Mailing address
205 17th St, P.o. Box 1978
Jackson, MI 49203-1403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AL380007055 (MI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AL380007055 (MI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AL380007059 (MI) |
| Respite Care | 385H00000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | DC380253832 (MI) |
| Child Physical Disabilities Respite Care | 385HR2065X | DC380253832 (MI) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Jackson
About NPI 1164569802
Pdhcrc, Inc.'s National Provider Identifier is 1164569802, issued on Jan 31, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jackson, MI. The record was last updated on May 8, 2024.