Individual provider · Type 1 NPI
Melissa Suco
Adult Care Home Facility · Leslie, MI
NPI number
1134969447
Active
Practice location
3680 Churchill Rd
Leslie, MI 49251-9550
Mailing address
PO Box 603
Leslie, MI 49251-0603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AS330397180 (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 1134969447
Melissa Suco's National Provider Identifier is 1134969447, issued on May 27, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Leslie, MI. The record was last updated on May 27, 2024.