Packard Group Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PACKARD GROUP INC

Practice address

731 Pallister St
Detroit, MI 48202-2418

Phone

(313) 872-7826

Fax

(313) 731-1771

NPI assigned

Aug 14, 2017

Last updated

Aug 14, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gladys Marie Sledge, LMSW

Title

Provider

Phone

(313) 350-4731

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1033635891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2066",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480372066",
            "telephone_number": "313-350-0744",
            "fax_number": "313-731-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 PALLISTER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022418",
            "telephone_number": "313-872-7826",
            "fax_number": "313-731-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKARD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "SLEDGE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "313-350-4731",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Imani Page

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.