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Reella Lee Burrell
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portage, Michigan
NPI 1184143463

Reella Lee Burrell is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Portage, MI. Reella Lee Burrell practices in Portage, MI. The NPI Number for Reella Lee Burrell is 1184143463 and holds a License No. AF390382592 (Michigan).

The current practice location address for Reella Lee Burrell is 6345 Angling Rd, Portage, MI and can be reached out via phone at 269-312-8885.

Location: 6345 Angling Rd, Portage, MI, 49024-1703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184143463
Provider Name
Reella Lee Burrell
Credential
Provider Entity Type
Individual
Gender
Female
Address
6345 Angling Rd, Portage, MI, 49024-1703
Phone Number
269-312-8885
Fax Number
Provider Enumeration Date
09/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6345 Angling Rd
City
Portage
State
Michigan
Zip
49024-1703
Phone Number
269-312-8885
Fax Number
person
Provider Business Mailing Address Details
Address
6345 Angling Rd
City
Portage
State
Michigan
Zip
49024-1703
Phone Number
269-312-8885
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.
AF390382592 (Michigan)
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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