Individual provider · Type 1 NPI
Caprice McKinnon
Adult Day Care Clinic/Center · Farmington Hills, MI
NPI number
1154914810
Active
Practice location
32255 W 12 Mile Rd Apt 6
Farmington Hills, MI 48334-3560
Mailing address
29155 Northwestern Hwy Ste 632
Southfield, MI 48034-1011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| PACE Provider Organization | 251T00000X | None listed |
| Recovery Care Clinic/Center | 261QR0800X | None listed |
| Assisted Living Facility | 310400000X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Personal Care Attendant | 3747P1801X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Respite Care | 385H00000X | None listed |
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1154914810
Caprice McKinnon's National Provider Identifier is 1154914810, issued on Feb 13, 2021. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Farmington Hills, MI. The record was last updated on Feb 13, 2021.