Dean'S Manor Inc.

Primary specialty

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

Legal business name

DEAN'S MANOR INC.

Practice address

4328 7TH Street
4329 7TH Street
Ecorse, MI 48229

Phone

(313) 388-9648

Fax

(313) 388-4013

NPI assigned

Sep 20, 2006

Organization subpart

No

Name

Mrs. Dena Deshone Jordan-Roberson

Title

President/Provider

Phone

(313) 388-9648

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508964255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22745 JEFFERSON",
            "city": "ST.CLAIR SHORES",
            "state": "MI",
            "postal_code": "48080",
            "telephone_number": "313-388-9648",
            "fax_number": "313-388-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 7TH STREET",
            "address_2": "4329 7TH STREET",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "48229",
            "telephone_number": "313-388-9648",
            "fax_number": "313-388-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN'S MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN-ROBERSON",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "DESHONE",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "313-388-9648",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa M Drew, PROVIDER

• All providers in Ecorse, MI
• 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.