Organization · Type 2 NPI

Rustic Ridge Specialized Residential

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Grand Blanc, MI

NPI number 1972471159 Active

Practice location

6624 Rustic Ridge Trl
Grand Blanc, MI 48439-4955

Call (833) 478-9464 Map

Mailing address

3060 S Dye Rd
Flint, MI 48507-1078

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

31 other providers at this address

About NPI 1972471159

Rustic Ridge Specialized Residential's National Provider Identifier is 1972471159, issued on Oct 28, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Grand Blanc, MI. The record was last updated on Oct 28, 2025.