Provider Demographics
NPI:1982354445
Name:FRANCES SPECIALIZED RESIDENTIAL, LLC
Entity Type:Organization
Organization Name:FRANCES SPECIALIZED RESIDENTIAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:FABIAN
Authorized Official - Last Name:NAEGELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-288-2226
Mailing Address - Street 1:2304 W FRANCES RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:MI
Mailing Address - Zip Code:48458-8229
Mailing Address - Country:US
Mailing Address - Phone:810-288-2226
Mailing Address - Fax:810-462-1093
Practice Address - Street 1:2304 W FRANCES RD
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458-8229
Practice Address - Country:US
Practice Address - Phone:810-288-2226
Practice Address - Fax:810-462-1093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities