NPIMap

Innovative Housing Development Corp

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fort Gratiot, MI

NPI 1194803403 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1194803403
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
INNOVATIVE HOUSING DEVELOPMENT CORP
Practice address
3051 Commerce Dr
Suite 5
Fort Gratiot, MI 48059-3866
Phone
(810) 385-4463
Fax
(810) 385-8875
NPI assigned
Nov 2, 2006
Organization subpart
No

Authorized official

Name
Mindy Wiegand
Title
Operations Director
Phone
(810) 385-4463

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

National Provider Directory

Tax ID family
Innovative Housing (2 organizations share this tax ID)

Locations

3051 Commerce Dr
Ste 5
Fort Gratiot, MI 48059
Phone (810) 385-4463

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MI Yes

Addresses

Primary practice location

3051 Commerce Dr
Suite 5
Fort Gratiot, MI 48059-3866

Mailing address

3051 Commerce Dr
Suite 5
Fort Gratiot, MI 48059-3866
Phone (810) 385-4463

Other providers in Fort Gratiot, MI

All providers in Fort Gratiot, MI · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

Sources for this page

Verify at the official NPI Registry.