Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELSABETH ENGEDA
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · OKEMOS, MI
Registration Details
- NPI Number
- 1922544402
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2017 (9.2813170402348 yrs)
- Last Updated
- Jan 9, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
4464 HICKORY DRIVEOKEMOS, MI, 48864Browse MI providers · Browse ZIP 48864
- Phone
- 5174026191
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.