Individual provider · Type 1 NPI

Martha Guardado, 311ZA0620X

Adult Care Home Facility · Kentwood, MI

NPI number 1952830143 Active

Practice location

5689 Gentian Ct SE
Kentwood, MI 49508-6403

Call (616) 325-0222 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XAF410381126 (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.

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About NPI 1952830143

Martha Guardado, 311ZA0620X's National Provider Identifier is 1952830143, issued on Jun 9, 2017. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Kentwood, MI. The record was last updated on Jun 9, 2017.