Dan McNeill
Individual provider Active NPI Assisted Living Facility (Behavioral Disturbances) · Gaines, MI
NPI 1720714645 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1720714645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances) 3104A0630X
- License
- AF250404622 (MI)
- Practice address
- 110 Lansing St
Gaines, MI 48436-8938 - Phone
- (989) 271-6073
- NPI assigned
- Jul 25, 2022
- Sex
- Male
- 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 |
|---|---|---|---|
| AF250404622 | MI | MD | Assisted Living Facility (Behavioral Disturbances) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | AF250404622 | MI | Yes |
Addresses
Primary practice location
110 Lansing St
Gaines, MI 48436-8938
Mailing address
110 Lansing St
Gaines, MI 48436-8938
Phone (989) 271-6073
Other providers in Gaines, MI
- Emma Grace Ford
- Audrey J Griswold
- Lauren Klein
- Adam Mata
- Amber Marie McDonald
- Erica Mae Miller
- Donna Roberts
- Marcia Ward
- Amy Lee Whaley
All providers in Gaines, MI · Assisted Living Facility (Behavioral Disturbances) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. 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.