OrganizationActive
Five Star Residential Inc
NPI 1336546589 · Foster Care Agency · Oak Park, MI
Provider details
- NPI number
- 1336546589
- Entity type
- Organization
- Primary specialty
- Foster Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Judith Tanguaka, Staff Nurse Cardiac Icu(248) 421-2735
- License
- AS630352375 (MI)
Specialties & taxonomies
Agencies
Practice location
22190 Sussex St
Oak Park, MI 48237-3509
Phone: (248) 421-2735
Fax: (248) 677-3082
Approximate (ZIP-level) locationGet directions
Mailing address
22190 Sussex St
Oak Park, MI 48237-3509
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2014-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.