Organization · Type 2 NPI
South County Home Health Providers
Physical Disabilities Residential Treatment Facility · Vicksburg, MI
NPI number
1477853422
Active
Practice location
115 N 3rd St
Vicksburg, MI 49097-1017
Fax (269) 649-4796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AF390303489 (MI) |
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | AF390303489 (MI) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1477853422
South County Home Health Providers's National Provider Identifier is 1477853422, issued on Oct 25, 2010. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Vicksburg, MI. The record was last updated on Jul 1, 2011.