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NPI Code Detail

MEDICARE: RESIDENTIAL & COMMUNITY BASED SERVICES, INC.

MEDICARE: RESIDENTIAL & COMMUNITY BASED SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320700000XPhysical Disabilities Residential Treatment Facility

General Provider Information

NPI Number : 1356010144
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESIDENTIAL & COMMUNITY BASED SERVICES, INC.
Provider Business Mailing Address
First Line : 3446 E LAKE LANSING RD
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-1511
Country : US
Telephone Number : 517-349-6975
Fax Number :
Provider Business Practice Location Address
First Line : 3446 E LAKE LANSING RD
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-1511
Country : US
Telephone Number : 517-349-6975
Fax Number :
Authorized Official
Title or Position : PROGRAM MANAGER
Name : TYLER DALE CURTIS
Credential : MA LPC CRC
Telephone Number : 517-349-6975
Provider Enumeration Date : 09/07/2021
Last Update Date : 09/07/2021

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Directions to “RESIDENTIAL & COMMUNITY BASED SERVICES, INC. ” Practice Location

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