Greenley Square Manor

LBN: Greenley Square Manor
Greenley Square Manor is an health care organization with primary practice located at 1345 Connell St , Burton MI 48529-2201. 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. Greenley Square Manor can be contacted via phone (810) 743-5011, or through Bertram, Timothy Douglas via phone (810) 743-5011.

Contact Information

Primary practice address
1345 Connell St Burton MI 48529-2201
Phone: (810) 743-5011
Fax: (810) 743-7370
Website:
Map and Directions
Authorized official contact:
Name: Bertram, Timothy Douglas Registered Nurse (RN)
Phone: (810) 743-5011

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X AL250015221 Michigan
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X AM250237981 Michigan

Profile Details

NPI number 1326299660
LBN Legal business name Greenley Square Manor
DBA Doing business as
Authorized official Bertram, Timothy Douglas Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2008
Last updated Oct 6th, 2008 - about 16 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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