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Tina Marie Graves
Intellectual Disabilities Intermediate Care Facility in Holly, Michigan
NPI 1225527195

Tina Marie Graves is a Intellectual Disabilities Intermediate Care Facility based in Holly, MI. Tina Marie Graves practices in Holly, MI. The NPI Number for Tina Marie Graves is 1225527195 and holds a License No. (Michigan).

The current practice location address for Tina Marie Graves is 16065 Fish Lake Rd, Holly, MI and can be reached out via phone at 248-240-7566.

Location: 16065 Fish Lake Rd, Holly, MI, 48442-8346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225527195
Provider Name
Tina Marie Graves
Credential
Provider Entity Type
Individual
Gender
Female
Address
16065 Fish Lake Rd, Holly, MI, 48442-8346
Phone Number
248-240-7566
Fax Number
Provider Enumeration Date
05/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16065 Fish Lake Rd
City
Holly
State
Michigan
Zip
48442
Phone Number
248-240-7566
Fax Number
person
Provider Business Mailing Address Details
Address
16065 Fish Lake Rd
City
Holly
State
Michigan
Zip
48442
Phone Number
248-240-7566
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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