Individual provider · Type 1 NPI
Roberta Jo Hartung
Adult Care Home Facility · Charlotte, MI
NPI number
1841006855
Active
Practice location
1493 N Cochran Ave
Charlotte, MI 48813-9702
Fax (517) 543-3764
Mailing address
10709 Vanwert Rd
Homer, MI 49245-9308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AS230418724 (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.
About NPI 1841006855
Roberta Jo Hartung's National Provider Identifier is 1841006855, issued on Dec 4, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Charlotte, MI. The record was last updated on Dec 4, 2024.