NPI 1225527195

Tina Marie Graves

Practitioner Intellectual Disabilities Intermediate Care Facility Holly, MI

Practice location

Address: 16065 Fish Lake Rd, Holly, MI 48442
Phone: (248) 240-7566
Mailing address: 16065 Fish Lake Rd, Holly, MI 48442-8346

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Michigan →

Registry record

NPI: 1225527195
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2018
Record last updated: 7 May 2018

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.