MRS. MARY SUSAN DOTSON
NPI 1851654339
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Allegan, MI
- Individual
- Female
- Community Based Residential Treatment Fa...
About MARY DOTSON
This page provides the complete NPI Profile along with additional information for Mary Dotson, a provider established in Allegan, Michigan with a medical specialization in Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1851654339 assigned on June 2012. The practitioner's primary taxonomy code is 320900000X with license number AF030314952 (MI). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1851654339 Verify this NPI
- Provider Name
- MRS. MARY SUSAN DOTSON
- Other Name
- MISS MARY SUSAN SCHOOLCRAFT
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3295 BABYLON RD ALLEGAN, MI 49010
- Location Phone
- (269) 355-1199
- Mailing Address
- 3295 BABYLON RD ALLEGAN, MI 49010
- Mailing Phone
- (269) 355-1199
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-20-2012
- Last Update Date
- 06-20-2012
- 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
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- AF030314952
- License State
- MI
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851654339, enumerated as an "individual" on June 20, 2012.
The provider is located at 3295 BABYLON RD ALLEGAN, MI 49010 and the phone number is (269) 355-1199.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.