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Susan Beckwith
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Leonard, Michigan
NPI 1669901641

Susan Beckwith is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Leonard, MI. Susan Beckwith practices in Leonard, MI. The NPI Number for Susan Beckwith is 1669901641 and holds a License No. AF630287239 (Michigan).

The current practice location address for Susan Beckwith is 2230 Rochester Rd, Leonard, MI and can be reached out via phone at 248-083-0619 and via fax at 248-628-7123.

Location: 2230 Rochester Rd, Leonard, MI, 48367-3002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669901641
Provider Name
Susan Beckwith
Credential
Provider Entity Type
Individual
Gender
Female
Address
2230 Rochester Rd, Leonard, MI, 48367-3002
Phone Number
248-083-0619
Fax Number
248-628-7123
Provider Enumeration Date
06/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2230 Rochester Rd
City
Leonard
State
Michigan
Zip
48367-3002
Phone Number
248-083-0619
Fax Number
248-628-7123
person
Provider Business Mailing Address Details
Address
2230 Rochester Rd
City
Leonard
State
Michigan
Zip
48367-3002
Phone Number
248-083-0619
Fax Number
248-628-7123
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.
AF630287239 (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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