# 2 FOOT PRINTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255414694
- **Authorized official:** MR. KEVIN HANKERSON (CEO)
- **Authorized official phone:** (248) 330-2464

## Contact information

- **Practice address:** 30067 SPRING ARBOR DR, INKSTER, MI 48141-1519
- **Practice address phone:** (248) 330-4264
- **Mailing address:** 24106 HICKORY GROVE LN, NOVI, MI 48375-3168
- **Mailing address phone:** (248) 330-4264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | MI | Yes |

## Other

- **Enumeration date:** 10/21/2006
- **Last updated:** 08/22/2020