Tina Marie Graves

NPI #1225527195 in Holly, Michigan

Provider Information

NPI Number: 1225527195
Entity Type: Individual
Name: Tina Marie Graves
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: May 7, 2018
Last Updated: May 7, 2018

Practice Location

Address: 16065 FISH LAKE RD
City: Holly
State: Michigan
ZIP Code: 48442
Phone: (248) 240-7566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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