person
Richard Lawrence Echols
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Southfield, Michigan
NPI 1699296855

Richard Lawrence Echols is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Southfield, MI. Richard Lawrence Echols practices in Southfield, MI. The NPI Number for Richard Lawrence Echols is 1699296855 and holds a License No. AF630280241 (Michigan).

The current practice location address for Richard Lawrence Echols is 25701 Ravine St, Southfield, MI and can be reached out via phone at 248-353-4729 and via fax at 248-353-4746. You can also correspond with Richard Lawrence Echols through the mailing address at 25701 RAVINE ST, SOUTHFIELD, MI - 48033-2256 (mailing address contact number: 248-353-4729).

Location: 25701 Ravine St, Southfield, MI, 48033-2256
person
Provider Profile Details
NPI Number
1699296855
Provider Name
Richard Lawrence Echols
Credential
Provider Entity Type
Individual
Gender
Male
Address
25701 Ravine St, Southfield, MI, 48033-2256
Phone Number
248-353-4729
Fax Number
248-353-4746
Provider Enumeration Date
06/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25701 Ravine St
City
State
Zip
48033-2256
Phone Number
248-353-4729
Fax Number
248-353-4746
person
Provider Business Mailing Address Details
Address
25701 Ravine St
City
State
Zip
48033-2256
Phone Number
248-353-4729
Fax Number
248-353-4746
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
AF630280241 (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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