Individual provider · Type 1 NPI
Colene A. Snowden, AFC PROVIDER
Intellectual Disabilities Intermediate Care Facility · Fenton, MI
NPI number
1780112383
Active
Practice location
18331 Tipsico Lake Rd
Fenton, MI 48430-8554
Fax (810) 629-0251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | AF630004934 (MI) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1780112383
Colene A. Snowden, AFC PROVIDER's National Provider Identifier is 1780112383, issued on May 25, 2017. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Fenton, MI. The record was last updated on May 25, 2017.