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Innovative Lifestyles, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Waterford, Michigan
NPI 1730615717

Innovative Lifestyles, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Clarkston, MI. Innovative Lifestyles, Inc practices in Waterford, MI. The NPI Number for Innovative Lifestyles, Inc is 1730615717 and holds a License No. AS630015466 (Michigan).

The current practice location address for Innovative Lifestyles, Inc is 5490 Dixie Hwy, Waterford, MI and can be reached out via phone at 248-623-8898 and via fax at 248-623-8899.

Location: 5490 Dixie Hwy, Waterford, MI, 48347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730615717
Provider Name
Innovative Lifestyles, Inc
Credential
Provider Entity Type
Organization
Address
5490 Dixie Hwy, Waterford, MI, 48347
Phone Number
248-623-8898
Fax Number
248-623-8899
Provider Enumeration Date
05/11/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5490 Dixie Hwy
City
Waterford
State
Michigan
Zip
48329
Phone Number
248-623-8898
Fax Number
248-623-8899
person
Provider Business Mailing Address Details
Address
5490 Dixie Hwy
City
Waterford
State
Michigan
Zip
48329
Phone Number
248-623-8898
Fax Number
248-623-8899
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
AS630015466 (Michigan)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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