THE MANOR NPI 1043363898

NPI Information

NPI: 1043363898
Provider Name: THE MANOR
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
115 EAST ST
JONESVILLE, MI
ZIP 49250
Phone: (517) 849-2151
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THE MANOR is a residential treatment facility, intellectual and/or developmental disabilities in Jonesville, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. THE MANOR NPI is 1043363898. The provider is registered as an organization entity type.

The provider's business location address is:

115 EAST ST
JONESVILLE, MI
ZIP 49250-007
Phone: (517) 849-2151
Fax: (517) 849-2880

The provider's authorized official is Fred Prasser .
The authorized official title is President And Ceo and has the following contact phone number (517) 849-2151.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.

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
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		C1300201277	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6356654	OTHER	MICHIGAN	PROVIDER NUMBER
2	C1300201277	OTHER	MICHIGAN	LICENSE NUMBER

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

NPI Synchronization or Removal

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