Is-care, Llc

NPI 1164753828 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1164753828
Enumeration Date 01/20/2010
Last Updated 07/16/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GWYNEVERE M. GWYNEVERE
Position FOUNDER & DIRECTOR
Phone (313) 894-1630
Fax (313) 894-1648
Practice Location
1777 N RADEMACHER ST
DETROIT MI, 48209-2049, US
Phone (313) 894-1630
Fax (313) 894-1648
Business Location
16524 ROSEMONT
DETROIT MI, 48219, US
Phone (313) 706-7237
Fax
Toxanomy
Taxonomy Code 323P00000X
License State
License Number
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According to our database, Is-care, Llc NPI is 1164753828, taxonomy code is 323P00000X Is-care, Llc physically located at 1777 N Rademacher St, Detroit MI, 48209-2049. NPI Number 1033115704 has the healthcare provider type.

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1164753828 NPI number is provided on an as is basis without warranty of any kind. 1164753828 is maintained by the National Plan & Provider Enumeration System. The contents of Is-care, Llc are for informational purposes only.