Provider Demographics
NPI:1285499780
Name:HUTCHESON MANOR RESIDENTIAL CARE INC.
Entity type:Organization
Organization Name:HUTCHESON MANOR RESIDENTIAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:OPIYO-OUMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-476-3798
Mailing Address - Street 1:21620 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-5632
Mailing Address - Country:US
Mailing Address - Phone:248-476-3798
Mailing Address - Fax:248-957-6935
Practice Address - Street 1:21620 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-5632
Practice Address - Country:US
Practice Address - Phone:248-476-3798
Practice Address - Fax:248-957-6935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home