Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRAND TRAVERSE AREA COMMUNITY LIVING CENTERS NON PROFIT HOUSING CORPOR
Active OrganizationGRAND TRAVERSE AREA COMMUNITY LIVING CENTERS NON PROFIT HOUSING CORPOR is a Intellectual Disabilities Residential Treatment Facility organization located in TRAVERSE CITY, Michigan. NPI 1477965036 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · TRAVERSE CITY, MI
Registration Details
- NPI Number
- 1477965036
- Provider Type
- Organization
- NPI Issued
- May 29, 2014 (12.255374052972 yrs)
- Last Updated
- May 29, 2014
- Licenses
-
AL280006975 (MI)AL280006975 (MI)
Practice Information
- Address
-
935 BARLOW STTRAVERSE CITY, MI, 496864250Browse MI providers · Browse ZIP 49686
- Phone
- 2319329030
- Fax
- 2319413421
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
- Additional Specialty
- Intellectual Disabilities Residential Treatment Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.