Individual provider · Type 1 NPI
Donna Sissell
Adult Care Home Facility · Sand Lake, MI
NPI number
1962983866
Active
Practice location
8180 19 Mile Rd
Sand Lake, MI 49343-9455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AL410001178A (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
About NPI 1962983866
Donna Sissell's National Provider Identifier is 1962983866, issued on Aug 28, 2018. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Sand Lake, MI. The record was last updated on Aug 28, 2018.