Individual provider · Type 1 NPI
Mark Edward Sissell
Foster Care Agency · Sand Lake, MI
Practice location
8180 19 Mile Rd
Sand Lake, MI 49343-9455
Fax (616) 696-1713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foster Care Agency Primary | 253J00000X | AL410007118 (MI) |
Foster Care Agency: A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Another provider at this address
About NPI 1972159440
Mark Edward Sissell's National Provider Identifier is 1972159440, issued on Aug 12, 2019. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Sand Lake, MI. The record was last updated on Aug 12, 2019.