MRS. Colene A. Snowden, AFC PROVIDER

NPI #1780112383 in Fenton, Michigan

Provider Information

NPI Number: 1780112383
Entity Type: Individual
Name: MRS. Colene A. Snowden, AFC PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Credential: AFC PROVIDER
Enumeration Date: May 25, 2017
Last Updated: May 25, 2017

Practice Location

Address: 18331 TIPSICO LAKE RD
City: Fenton
State: Michigan
ZIP Code: 48430-8554
Phone: (810) 629-0251

Specialties & Taxonomy Codes

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

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