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Indian Trails Camp, Inc.
Respite Care in Grand Rapids, Michigan
NPI 1972847184

Indian Trails Camp, Inc. is a Respite Care based in Grandville, MI. Indian Trails Camp, Inc. practices in Grand Rapids, MI. The NPI Number for Indian Trails Camp, Inc. is 1972847184 and holds a License No. (Michigan).

The current practice location address for Indian Trails Camp, Inc. is O-1859 Lake Michigan Dr. Nw, Grand Rapids, MI and can be reached out via phone at 616-677-5251 and via fax at 616-677-2955.

Location: O-1859 Lake Michigan Dr. Nw, Grand Rapids, MI, 49468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972847184
Provider Name
Indian Trails Camp, Inc.
Credential
Provider Entity Type
Organization
Address
O-1859 Lake Michigan Dr. Nw, Grand Rapids, MI, 49468
Phone Number
616-677-5251
Fax Number
616-677-2955
Provider Enumeration Date
11/15/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
O-1859 Lake Michigan Dr. Nw
City
Grand Rapids
State
Michigan
Zip
49534
Phone Number
616-677-5251
Fax Number
616-677-2955
person
Provider Business Mailing Address Details
Address
O-1859 Lake Michigan Dr. Nw
City
Grand Rapids
State
Michigan
Zip
49534
Phone Number
616-677-5251
Fax Number
616-677-2955
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
SR700200220 (Michigan)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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