Individual provider · Type 1 NPI
Jodie Ann Brigham
Adult Care Home Facility · Edmore, MI
NPI number
1891482212
Active
Practice location
1380 E Main St
Edmore, MI 48829-8413
Mailing address
11590 Lakeshore Dr
Lakeview, MI 48850-9708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AM590407641 (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.
Another provider at this address
Other adult care home facility providers in Edmore
About NPI 1891482212
Jodie Ann Brigham's National Provider Identifier is 1891482212, issued on Apr 18, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Edmore, MI. The record was last updated on Apr 18, 2023.