RENAE MANIGAULT NPI 1205923463

NPI Information

NPI: 1205923463
Provider Name: RENAE MANIGAULT

Other Name: RENAE'S AFC

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
19350 CHAREST ST
DETROIT, MI
ZIP 48234
Phone: (313) 418-8095
Get Directions

RENAE MANIGAULT is a residential treatment facility, intellectual and/or developmental disabilities in Detroit, 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. RENAE MANIGAULT NPI is 1205923463. The provider is registered as an organization entity type.
The provider Other Name Is Renae's Afc.

The provider's business location address is:

19350 CHAREST ST
DETROIT, MI
ZIP 48234-646
Phone: (313) 418-8095

The provider's authorized official is Renae Manigault .
The authorized official title is Admn. and has the following contact phone number (313) 418-8095.

The enumeration date for this NPI number is 10/9/2006 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			MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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