Individual provider · Type 1 NPI
Beatrice Rutaboba
Adult Care Home Facility · Wyoming, MI
NPI number
1336029255
Active
Practice location
5090 Amanda Dr SW
Wyoming, MI 49418-9766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AS410418208 (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.
2 other providers at this address
About NPI 1336029255
Beatrice Rutaboba's National Provider Identifier is 1336029255, issued on Sep 3, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Wyoming, MI. The record was last updated on Sep 3, 2025.