Individual provider · Type 1 NPI
Darby Kelso
Adult Care Home Facility · Traverse City, MI
NPI number
1487038642
Active
Practice location
1626 Indian Woods Dr
Traverse City, MI 49686-3030
Mailing address
1626 Indian Woods Drive
Traverse City, MI 49686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AF280318170 (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.
Other adult care home facility providers in Traverse City
About NPI 1487038642
Darby Kelso's National Provider Identifier is 1487038642, issued on Jul 16, 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 16, 2015.