LYDIAS HOUSE
NPI 1659990208
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in West Olive, MI
- Organization
- Residential Treatment Facility, Intellec...
About LYDIAS HOUSE
This page provides the complete NPI Profile along with additional information for Lydias House, a provider established in West Olive, Michigan operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1659990208 assigned on April 2020. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Lydia Hodges (Owner)
- NPI
- 1659990208 Verify this NPI
- Provider Name
- LYDIAS HOUSE
- Entity Type
- Organization
- Location Address
- 11667 152ND AVE WEST OLIVE, MI 49460
- Location Phone
- (616) 844-3059
- Mailing Address
- 11667 152ND AVE WEST OLIVE, MI 49460
- Mailing Phone
- (616) 844-3059
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-14-2020
- Last Update Date
- 04-14-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659990208, enumerated as an "organization" on April 14, 2020.
The provider is located at 11667 152ND AVE WEST OLIVE, MI 49460 and the phone number is (616) 844-3059.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
