Joyce McNabb

Individual provider Active NPI Adult Care Home Facility · Marlette, MI

NPI 1093489528 · NPPES record last updated Aug 7, 2021

Key facts

NPI
1093489528
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
AF760367059 (MI)
Practice address
6635 W. Marlette Street
Marlette, MI 48453
Phone
(989) 635-7176
NPI assigned
Aug 7, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AF760367059MIMDAdult Care Home Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AF760367059 MI Yes

Addresses

Primary practice location

6635 W. Marlette Street
Marlette, MI 48453

Mailing address

6635 W. Marlette Street
Marlette, MI 48453
Phone (989) 635-7176

Other providers in Marlette, MI

All providers in Marlette, MI · Adult Care Home Facility in Michigan

Sources for this page

Verify at the official NPI Registry.