Whalio Doctors

NPI 1760196224

Twin Doves III LLC

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

Practice location

Address
52101 34th Ave, Bangor, MI 49013
Phone
(616) 403-9430
Fax
(269) 852-5910
Mailing address
34130 52nd St, Bangor, MI 49013-9727

Authorised official

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

Registered specialties

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

Registry record

NPI
1760196224
Entity type
Organization
NPI issued
10 Jan 2023
Record last updated
10 Jan 2023

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.