Individual provider · Type 1 NPI
Lavel Irene Smith
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Gladwin, MI
Practice location
311 S Clarwin Ave
Gladwin, MI 48624-9401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | AF260002059 (MI) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1023387115
Lavel Irene Smith's National Provider Identifier is 1023387115, issued on Dec 20, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Gladwin, MI. The record was last updated on Dec 20, 2011.