Organization
INNOVATIVE HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FLYNN (ECS SUPERVISOR)
(810) 385-4463
Entity
Organization
Contact information
Practice address
3051 COMMERCE DR, FORT GRATIOT, MI 48059-3866
(810) 385-4463
Mailing address
3051 COMMERCE DR, FORT GRATIOT, MI 48059-3866
(810) 385-4463
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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