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Raekesha Lachelle Mcmillian
Assisted Living Facility (Behavioral Disturbances) in Grand Rapids, Michigan
NPI 1053837922

Raekesha Lachelle Mcmillian is an Assisted Living Facility (Behavioral Disturbances) based in Grand Rapids, MI and is specialized in Assisted Living, Behavioral Disturbances. Raekesha Lachelle Mcmillian practices in Grand Rapids, MI. The NPI Number for Raekesha Lachelle Mcmillian is 1053837922 and holds a License No. AS410388538 (Michigan).

The current practice location address for Raekesha Lachelle Mcmillian is 820 Watkins St Se, Grand Rapids, MI and can be reached out via phone at 616-427-4570.

Location: 820 Watkins St Se, Grand Rapids, MI, 49507-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053837922
Provider Name
Raekesha Lachelle Mcmillian
Credential
Provider Entity Type
Individual
Gender
Female
Address
820 Watkins St Se, Grand Rapids, MI, 49507-1923
Phone Number
616-427-4570
Fax Number
Provider Enumeration Date
08/22/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W314730488684 05 MI
institution
Provider Business Practice Location Address Details
Address
820 Watkins St Se
City
Grand Rapids
State
Michigan
Zip
49507-1345
Phone Number
616-427-4570
Fax Number
person
Provider Business Mailing Address Details
Address
820 Watkins St Se
City
Grand Rapids
State
Michigan
Zip
49507-1345
Phone Number
616-427-4570
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
AS410388538 (Michigan)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
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