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BERTRAM'S MANOR LLC NPI 1700037082


NPI Information

NPI: 1700037082
Provider Name: BERTRAM'S MANOR LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1202 CHURCH ST
FLINT, MI
ZIP 48502
Phone: (810) 238-1430
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BERTRAM'S MANOR LLC is a community based residential treatment facility mental illness in Flint, MI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BERTRAM'S MANOR LLC NPI is 1700037082. The provider is registered as an organization entity type.

The provider's business location address is:

1202 CHURCH ST
FLINT, MI
ZIP 48502-015
Phone: (810) 238-1430
Fax: (810) 238-1447

The provider's authorized official is Nicholas D Burnett .
The authorized official title is Owner/administrator and has the following contact phone number (810) 238-1430.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 10/6/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesAM250289405MICHIGANNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessAM250289405MICHIGANYes

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: 4/28/2024

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