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NPI Code Detail

MEDICARE: RESIDENTIAL ALTERNATIVES, INC.

MEDICARE: RESIDENTIAL ALTERNATIVES, 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
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1710192323
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESIDENTIAL ALTERNATIVES, INC.
Provider Business Mailing Address
First Line : PO BOX 709
Second Line :
City : HIGHLAND
State : MI
Zip : 48357-0709
Country : US
Telephone Number : 248-634-7206
Fax Number : 248-634-4333
Provider Business Practice Location Address
First Line : 9080 MILFORD RD
Second Line :
City : HOLLY
State : MI
Zip : 48442-8663
Country : US
Telephone Number : 248-634-7206
Fax Number : 248-634-4333
Authorized Official
Title or Position : CHIEF EXECUTIVE
Name : JOSEPHINE FEIJOO
Credential :
Telephone Number : 248-634-7206
Provider Enumeration Date : 05/14/2007
Last Update Date : 08/22/2020

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Directions to “RESIDENTIAL ALTERNATIVES, INC. ” Practice Location

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