NPI 1023387115

Lavel Irene Smith

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility Gladwin, MI

Practice location

Address: 311 S Clarwin Ave, Gladwin, MI 48624-9401
Phone: (989) 429-3272

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence AF260002059 (MI)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Michigan →

Registry record

NPI: 1023387115
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2011
Record last updated: 20 Dec 2011

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.