Individual provider · Type 1 NPI
Tina Marie Graves
Intellectual Disabilities Intermediate Care Facility · Holly, MI
NPI number
1225527195
Active
Practice location
16065 Fish Lake Rd
Holly, MI 48442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1225527195
Tina Marie Graves's National Provider Identifier is 1225527195, issued on May 7, 2018. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Holly, MI. The record was last updated on May 7, 2018.