Melissa Maria Luna-Keaton
Individual provider Active NPI Foster Care Agency · Mount Morris, MI
NPI 1295986503 · NPPES record last updated Oct 6, 2008
Key facts
- NPI
- 1295986503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- License
- AS250010894 (MI)
- Practice address
- 5135 E Mount Morris Rd
Mount Morris, MI 48458-9721 - Phone
- (810) 515-4278
- NPI assigned
- Oct 6, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| AS250010894 | MI | MD | Foster Care Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | AS250010894 | MI | Yes |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AS250010894 | MI |
Addresses
Primary practice location
5135 E Mount Morris Rd
Mount Morris, MI 48458-9721
Mailing address
5135 E Mount Morris Rd
Mount Morris, MI 48458-9721
Phone (810) 515-4278
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All providers in Mount Morris, MI · Foster Care Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.