NPI 1780112383

Colene A. Snowden, AFCPROVIDER

Practitioner Intellectual Disabilities Intermediate Care Facility Fenton, MI

Practice location

Address: 18331 Tipsico Lake Rd, Fenton, MI 48430-8554
Phone: (810) 629-0251
Fax: (810) 629-0251

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence AF630004934 (MI)

Other Intermediate Care Facility, Intellectual Disabilities providers in Michigan →

Registry record

NPI: 1780112383
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2017
Record last updated: 25 May 2017

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.