Organization · Type 2 NPI
Indian Trails Camp, Inc.
Respite Care · Grand Rapids, MI
NPI number
1972847184
Active
Practice location
O-1859 Lake Michigan Dr. NW
Grand Rapids, MI 49534
Fax (616) 677-2955
Mailing address
PO Box 97
Grandville, MI 49468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Respite Care Primary | 385H00000X | SR700200220 (MI) |
| Respite Care | 385H00000X | AC700200613 (MI) |
Respite Care: Definition to come.
Other respite care providers in Grand Rapids
About NPI 1972847184
Indian Trails Camp, Inc.'s National Provider Identifier is 1972847184, issued on Nov 15, 2012. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 15, 2012.