Lake Fenton Haus Inc in Fenton - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Lake Fenton Haus Inc - NPI 1811067465

Lake Fenton Haus Inc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fenton, Michigan. Lake Fenton Haus Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Lake Fenton Haus Inc is 1811067465. The last update date is 2020-08-22.

Lake Fenton Haus Inc's current location address is 12287 Margaret Dr, Fenton, Michigan. You can contact this provider via phone number 8106297969. The mailing address for Lake Fenton Haus Inc is 12287 Margaret Dr, Fenton, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lake Fenton Haus Inc
Address 12287 Margaret Dr, Fenton, Michigan
Phone Number 8106297969
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER EXEC
Authorized Official Name Huber Marie Kathleen
Credentials EXECUTIVE
Telephone Number 8106297969

NPI Number Detail

NPI Number 1811067465
Provider Enumeration Date 2006-11-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 12287 Margaret Dr
City Fenton
State Michigan (MI)
Post Code 48430
Phone Number 8106297969
Fax Number

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Definition:
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.

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FAQs about Lake Fenton Haus Inc

What is the unique 10-digit identification code assigned to Lake Fenton Haus Inc by the Centers for Medicare & Medicaid Services?

The Lake Fenton Haus Inc has been issued the NPI (National Provider Identifier) 1811067465, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lake Fenton Haus Inc is geographically located?

The Lake Fenton Haus Inc is physically situated at the following location: 12287 Margaret Dr, Fenton, MI, 48430.

What is Lake Fenton Haus Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lake Fenton Haus Inc is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.

On what date did Lake Fenton Haus Inc receive its 1811067465 assignment from the Centers for Medicare & Medicaid Services?

The Lake Fenton Haus Inc was assigned its 1811067465 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Lake Fenton Haus Inc most recently updated or revised?

The information pertaining to Lake Fenton Haus Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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