| Res-care Premier, Inc. | |
|
1220 W Lake Rd Clio MI 48420-8881 | |
| (810) 686-1393 | |
| Not Available |
| Full Name | Res-care Premier, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1220 W Lake Rd, Clio, Michigan |
| Authorized Official Name and Position | Angie Mattingly (MANAGER PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5026307425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Res-care Premier, Inc. 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: () - | Res-care Premier, Inc. 1220 W Lake Rd Clio MI 48420-8881 Ph: (810) 686-1393 |
| NPI Number | 1386376937 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386376937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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