| Mcmahan Adult Foster Care | |
|
1478 E Buder Ave Burton MI 48529-1606 | |
| (810) 875-9681 | |
| (810) 875-9681 |
| Full Name | Mcmahan Adult Foster Care |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 1478 E Buder Ave, Burton, Michigan |
| Authorized Official Name and Position | Tracy Renee Mcmahan (OWNER) |
| Authorized Official Contact | 8108759681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcmahan Adult Foster Care 1478 E Buder Ave Burton MI 48529-1606 Ph: (810) 875-9681 | Mcmahan Adult Foster Care 1478 E Buder Ave Burton MI 48529-1606 Ph: (810) 875-9681 |
| NPI Number | 1790936607 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790936607 | NPI | - | NPPES |
| AS250285536 | Medicaid | MI |
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