Individual provider · Type 1 NPI
Taylor Marie Nickerson
Adult Care Home Facility · Lake City, MI
NPI number
1033048491
Active
Practice location
1266 N Forward Rd
Lake City, MI 49651-9393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AM570363712 (MI) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1033048491
Taylor Marie Nickerson's National Provider Identifier is 1033048491, issued on May 13, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lake City, MI. The record was last updated on May 13, 2026.