Whalio Doctors

NPI 1083237051

Twin Doves I LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Bangor, MI

Practice location

Address
48617 36th Ave., Bangor, MI 49013
Phone
(616) 403-9430
Fax
(269) 852-5910

Authorised official

Name
Rickie Hernandez
Title
Owner
Phone
(616) 403-9430

Registered specialties (2)

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

Registry record

NPI
1083237051
Entity type
Organization
NPI issued
25 May 2020
Record last updated
25 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.