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Search › Michigan › Intellectual and/or Developmental Disabilities Residential Treatment Facility

Shari Blackburn

NPI 1174850002 · on the registry since 2009 · sole proprietor

Practice

Address
3399 Oxbow Dr
Fort Gratiot, MI 48059
Phone
(810) 990-8134

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan