Eden Prairie Residential Care Services, Llc

LBN: Eden Prairie Residential Care Services, Llc
Eden Prairie Residential Care Services, Llc is an health care organization with primary practice located at 302 Welch Blvd , Flint MI 48503-1105. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Eden Prairie Residential Care Services, Llc can be contacted via phone (214) 250-6576, or through Ogundipe, Kehinde Olugbolahan via phone (214) 250-6576.

Contact Information

Primary practice address
302 Welch Blvd Flint MI 48503-1105
Phone: (214) 250-6576
Fax: (810) 337-1546
Website:
Map and Directions
Authorized official contact:
Name: Ogundipe, Kehinde Olugbolahan
Phone: (214) 250-6576

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1215579537
LBN Legal business name Eden Prairie Residential Care Services, Llc
DBA Doing business as
Authorized official Ogundipe, Kehinde Olugbolahan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2019
Last updated Oct 9th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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