Individual provider · Type 1 NPI
Susan Beckwith
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Leonard, MI
Practice location
2230 Rochester Rd
Leonard, MI 48367-3002
Fax (248) 628-7123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | AF630287239 (MI) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1669901641
Susan Beckwith's National Provider Identifier is 1669901641, issued on Jun 5, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Leonard, MI. The record was last updated on Jun 5, 2017.