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Hernandez Home Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bloomingdale, Michigan
NPI 1124310818

Hernandez Home Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Bloomingdale, MI. Hernandez Home Llc practices in Bloomingdale, MI. The NPI Number for Hernandez Home Llc is 1124310818 and holds a License No. AS030282002 (Michigan).

The current practice location address for Hernandez Home Llc is 94 45Th St, Bloomingdale, MI and can be reached out via phone at 269-628-2100.

Location: 94 45Th St, Bloomingdale, MI, 49026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124310818
Provider Name
Hernandez Home Llc
Credential
Provider Entity Type
Organization
Address
94 45Th St, Bloomingdale, MI, 49026
Phone Number
269-628-2100
Fax Number
Provider Enumeration Date
05/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
94 45Th St
City
Bloomingdale
State
Michigan
Zip
49026-9502
Phone Number
269-628-2100
Fax Number
person
Provider Business Mailing Address Details
Address
94 45Th St
City
Bloomingdale
State
Michigan
Zip
49026-9502
Phone Number
269-628-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
AS030282002 (Michigan)
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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