Organization · Type 2 NPI

Hernandez Home LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bloomingdale, MI

NPI number 1124310818 Active

Practice location

94 45th St
Bloomingdale, MI 49026-9502

Mailing address

P.o. Box 277
Bloomingdale, MI 49026

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XAS030282002 (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.

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About NPI 1124310818

Hernandez Home LLC's National Provider Identifier is 1124310818, issued on May 12, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Bloomingdale, MI. The record was last updated on May 12, 2011.