Innovative Housing

NPI #1366878860 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1366878860
Entity Type: Organization
Organization Name: Innovative Housing
Primary Specialty: Respite Care
Enumeration Date: Sep 17, 2013
Last Updated: Sep 17, 2013

Practice Location

Address: 3051 COMMERCE DR
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-3866
Phone: (810) 385-4463

Authorized Official

Name: ALISON FLYNN
Title: ECS SUPERVISOR
Phone: (810) 385-4463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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