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BENTLEY MANOR INC. NPI 1255583530


NPI Information

NPI: 1255583530
Provider Name: BENTLEY MANOR, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2099 W WILSON RD
CLIO, MI
ZIP 48420
Phone: (810) 686-4858
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BENTLEY MANOR, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Clio, MI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BENTLEY MANOR, INC. NPI is 1255583530. The provider is registered as an organization entity type.

The provider's business location address is:

2099 W WILSON RD
CLIO, MI
ZIP 48420-603
Phone: (810) 686-4858
Fax: (810) 686-4674

The provider's authorized official is Melissa Marie Bentley .
The authorized official title is Licensee / Ceo and has the following contact phone number (810) 686-4858.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 10/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesAS250010929MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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