Provider Demographics
NPI:1326077009
Name:SHERWOOD CARE FACILITIES, INC.
Entity Type:Organization
Organization Name:SHERWOOD CARE FACILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LAMAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-659-5421
Mailing Address - Street 1:PO BOX 3008
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:MI
Mailing Address - Zip Code:48457-0708
Mailing Address - Country:US
Mailing Address - Phone:810-659-5421
Mailing Address - Fax:810-659-0807
Practice Address - Street 1:5503 DUFFIELD RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-9766
Practice Address - Country:US
Practice Address - Phone:810-659-5421
Practice Address - Fax:810-659-0807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAM25008267320900000X
MIAS2500072548320900000X
MI320900000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities