EDEN PRAIRIE RESIDENTIAL CARE SERVICES, LLC
NPI 1215579537
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Flint, MI
- Organization
- Residential Treatment Facility, Intellec...
About EDEN PRAIRIE RESIDENTIAL CARE SERVICES, LLC
This page provides the complete NPI Profile along with additional information for Eden Prairie Residential Care Services, Llc, a provider established in Flint, Michigan operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1215579537 assigned on October 2019. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Kehinde Olugbolahan Ogundipe (Administrator)
- NPI
- 1215579537 Verify this NPI
- Provider Name
- EDEN PRAIRIE RESIDENTIAL CARE SERVICES, LLC
- Entity Type
- Organization
- Location Address
- 302 WELCH BLVD FLINT, MI 48503
- Location Phone
- (214) 250-6576
- Location Fax
- (810) 337-1546
- Mailing Address
- 302 WELCH BLVD FLINT, MI 48503
- Mailing Phone
- (214) 250-6576
- Mailing Fax
- (810) 337-1546
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2019
- Last Update Date
- 10-09-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215579537, enumerated as an "organization" on October 09, 2019.
The provider is located at 302 WELCH BLVD FLINT, MI 48503 and the phone number is (214) 250-6576.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
