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Mrs. Virginia A O'donnell, BSW
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clinton Township, Michigan
NPI 1053551473

Virginia A O'donnell is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Port Huron, MI. Virginia A O'donnell practices in Clinton Township, MI and has the professional credentials of BSW. The NPI Number for Virginia A O'donnell is 1053551473 and holds a License No. (Michigan).

The current practice location address for Virginia A O'donnell is 21885 Dunham Rd, Clinton Township, MI and can be reached out via phone at 586-469-5950.

Location: 21885 Dunham Rd, Clinton Township, MI, 48060-2960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053551473
Provider Name
Virginia A O'donnell
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
21885 Dunham Rd, Clinton Township, MI, 48060-2960
Phone Number
586-469-5950
Fax Number
Provider Enumeration Date
02/25/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21885 Dunham Rd
City
Clinton Township
State
Michigan
Zip
48036-1030
Phone Number
586-469-5950
Fax Number
person
Provider Business Mailing Address Details
Address
21885 Dunham Rd
City
Clinton Township
State
Michigan
Zip
48036-1030
Phone Number
586-469-5950
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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