Organization · Type 2 NPI

Renae Manigault

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Detroit, MI

NPI number 1205923463 Active

Practice location

19350 Charest St
Detroit, MI 48234-1646

Call (313) 418-8095 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1205923463

Renae Manigault's National Provider Identifier is 1205923463, issued on Oct 9, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Detroit, MI. The record was last updated on Aug 22, 2020.