NPI | 1922513902 |
---|---|
Doing Business As | JOSHUA STREET RESIDENTIAL CARE |
Entity Type | Organization |
Authorized Contact | KATREVA N BISBEE Billing Specialist 517-882-3544 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |