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NPI Code Detail

MEDICARE: FRANCES SPECIALIZED RESIDENTIAL, LLC

MEDICARE: FRANCES SPECIALIZED RESIDENTIAL, LLC
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1982354445
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANCES SPECIALIZED RESIDENTIAL, LLC
Provider Business Mailing Address
First Line : 2304 W FRANCES RD
Second Line :
City : MOUNT MORRIS
State : MI
Zip : 48458-8229
Country : US
Telephone Number : 810-288-2226
Fax Number : 810-462-1093
Provider Business Practice Location Address
First Line : 2304 W FRANCES RD
Second Line :
City : MOUNT MORRIS
State : MI
Zip : 48458-8229
Country : US
Telephone Number : 810-288-2226
Fax Number : 810-462-1093
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. MITCHELL FABIAN NAEGELE
Credential :
Telephone Number : 810-288-2226
Provider Enumeration Date : 03/28/2022
Last Update Date : 03/28/2022

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Directions to “FRANCES SPECIALIZED RESIDENTIAL, LLC ” Practice Location

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