Twin Doves II LLC

NPI #1407491277 in Decatur, Michigan

Provider Information

NPI Number: 1407491277
Entity Type: Organization
Organization Name: Twin Doves II LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 15, 2019
Last Updated: Nov 15, 2019

Practice Location

Address: 40739 80TH AVE
City: Decatur
State: Michigan
ZIP Code: 49045-8158
Phone: (269) 852-5910

Authorized Official

Name: RICKIE LYNN HERNANDEZ
Title: HOME PROVIDER
Phone: (616) 403-9430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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