Renae Manigault

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

RENAE MANIGAULT

Practice address

19350 Charest St
Detroit, MI 48234-1646

Phone

(313) 418-8095

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Renae Manigault

Title

Admn.

Phone

(313) 418-8095

Specialties & licenses 1

Addresses

Other names 1

• Renae's AFC Other name

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205923463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19350 CHAREST ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341646",
            "telephone_number": "313-418-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19350 CHAREST ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341646",
            "telephone_number": "313-418-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAE MANIGAULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANIGAULT",
        "authorized_official_first_name": "RENAE",
        "authorized_official_title_or_position": "ADMN.",
        "authorized_official_telephone_number": "313-418-8095",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renae's AFC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mallory Remner
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• Ruth Remus, SLP
• Camille Venessa Remy, MA,NCC,LPC
• Renaissance Dental PC
• Renaissance Home Care LLC
• Renaissance Medical Center PLLC
• Renaissance Recovery
• Renal Treatment Centers Illinois Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.