Whalio Doctors

NPI 1144855123

Hope Shores, LLC

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

Practice location

Address
1383 E Maple Ave, Burton, MI 48529-2059
Phone
(810) 964-0412
Mailing address
10242 McKinley Rd, Montrose, MI 48457-9187

Authorised official

Name
Ryan Wickson
Title
Owner
Phone
(810) 964-0412

Registered specialties

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

Registry record

NPI
1144855123
Entity type
Organization
NPI issued
10 Mar 2020
Record last updated
10 Mar 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.