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Mrs. Colene A. Snowden, AFCPROVIDER
Intellectual Disabilities Intermediate Care Facility in Fenton, Michigan
NPI 1780112383

Colene A. Snowden is a Intellectual Disabilities Intermediate Care Facility based in Fenton, MI. Colene A. Snowden practices in Fenton, MI and has the professional credentials of AFCPROVIDER. The NPI Number for Colene A. Snowden is 1780112383 and holds a License No. AF630004934 (Michigan).

The current practice location address for Colene A. Snowden is 18331 Tipsico Lake Rd, Fenton, MI and can be reached out via phone at 810-629-0251 and via fax at 810-629-0251.

Location: 18331 Tipsico Lake Rd, Fenton, MI, 48430-8554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780112383
Provider Name
Colene A. Snowden
Credential
AFCPROVIDER
Provider Entity Type
Individual
Gender
Female
Address
18331 Tipsico Lake Rd, Fenton, MI, 48430-8554
Phone Number
810-629-0251
Fax Number
810-629-0251
Provider Enumeration Date
05/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18331 Tipsico Lake Rd
City
Fenton
State
Michigan
Zip
48430-8554
Phone Number
810-629-0251
Fax Number
810-629-0251
person
Provider Business Mailing Address Details
Address
18331 Tipsico Lake Rd
City
Fenton
State
Michigan
Zip
48430-8554
Phone Number
810-629-0251
Fax Number
810-629-0251
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
AF630004934 (Michigan)
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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