Organization · Type 2 NPI
Innovative Lifestyles, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waterford, MI
Practice location
5490 Dixie Hwy, Suite 1
Waterford, MI 48329
Fax (248) 623-8899
Mailing address
PO Box 1258
Clarkston, MI 48347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | AS630015466 (MI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AS630279392 (MI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AS630074810 (MI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AS630067389 (MI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AS630279393 (MI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AS630012660 (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 1730615717
Innovative Lifestyles, Inc's National Provider Identifier is 1730615717, issued on May 11, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Waterford, MI. The record was last updated on May 11, 2017.