Provider Demographics
NPI:1598036352
Name:DOWNRIVER CARE MANAGEMENT
Entity Type:Organization
Organization Name:DOWNRIVER CARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:FERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:734-285-4473
Mailing Address - Street 1:22341 DONNELLY AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48193-8265
Mailing Address - Country:US
Mailing Address - Phone:734-285-4473
Mailing Address - Fax:
Practice Address - Street 1:22341 DONNELLY AVE
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48193-8265
Practice Address - Country:US
Practice Address - Phone:734-285-4473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency