Organization · Type 2 NPI
Indian Trail Afc
Adult Care Home Facility · Traverse City, MI
NPI number
1154705804
Active
Practice location
844 Indian Trail Blvd
Traverse City, MI 49686-3640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AF280015720 (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.
11 other providers at this address
- Daniel John CorcoranPeer Specialist Traverse City, MI NPI 1467136291
- Janaia ArnoldPeer Specialist Traverse City, MI NPI 1619679172
- Kayla GaudenPeer Specialist Traverse City, MI NPI 1023713476
- Kelli Rae KelleyRegistered Nurse Traverse City, MI NPI 1811692064
- Kristina OrmsbeeRegistered Nurse Traverse City, MI NPI 1659132751
- Laura Barrett, RNRegistered Nurse Traverse City, MI NPI 1003690702
- Lori MorrisonCase Manager/Care Coordinator Traverse City, MI NPI 1306534144
- McKenzie R. GundersonPeer Specialist Traverse City, MI NPI 1851010003
- Michael Charles Corby, M.A., L.P.C.Counselor Traverse City, MI NPI 1407288103
- Shelly Lee Durocher, RNRegistered Nurse Traverse City, MI NPI 1356047344
- Tashia Lynn WinstanleyPeer Specialist Traverse City, MI NPI 1124729082
Other adult care home facility providers in Traverse City
About NPI 1154705804
Indian Trail Afc's National Provider Identifier is 1154705804, issued on Jul 13, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Traverse City, MI. The record was last updated on Jul 13, 2015.