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Donna Sissell
Adult Care Home Facility in Sand Lake, Michigan
NPI 1962983866

Donna Sissell is an Adult Care Home Facility based in Sand Lake, MI and is specialized in Adult Care Home. Donna Sissell practices in Sand Lake, MI. The NPI Number for Donna Sissell is 1962983866 and holds a License No. AL410001178A (Michigan).

The current practice location address for Donna Sissell is 8180 19 Mile Rd, Sand Lake, MI and can be reached out via phone at 616-696-2304.

Location: 8180 19 Mile Rd, Sand Lake, MI, 49343-9455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962983866
Provider Name
Donna Sissell
Credential
Provider Entity Type
Individual
Gender
Female
Address
8180 19 Mile Rd, Sand Lake, MI, 49343-9455
Phone Number
616-696-2304
Fax Number
Provider Enumeration Date
08/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8180 19 Mile Rd
City
Sand Lake
State
Michigan
Zip
49343-9455
Phone Number
616-696-2304
Fax Number
person
Provider Business Mailing Address Details
Address
8180 19 Mile Rd
City
Sand Lake
State
Michigan
Zip
49343-9455
Phone Number
616-696-2304
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AL410001178A (Michigan)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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