Individual provider · Type 1 NPI
Kennedy Opiyo Mwanda
Adult Care Home Facility · Portage, MI
NPI number
1902584451
Active
Practice location
3320 W Milham Ave
Portage, MI 49024-1029
Other practice locations
- 3320 W Milham Ave, Portage, MI 49024-1029 · (269) 929-8436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AS390410848 (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 Portage
About NPI 1902584451
Kennedy Opiyo Mwanda's National Provider Identifier is 1902584451, issued on Jul 6, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Portage, MI. The record was last updated on Jul 6, 2023.