The Meadows Specialized Residential Program
Organization Active NPI Psychiatric Residential Treatment Facility · Mendon, MI
NPI 1881961498 · NPPES record last updated Nov 27, 2011
Key facts
- NPI
- 1881961498
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- License
- AS750239107 (MI)
- Legal business name
- THE MEADOWS SPECIALIZED RESIDENTIAL PROGRAM
- Practice address
- 55377 Walterspaugh Rd
Mendon, MI 49072-9545 - Phone
- (269) 496-1033
- NPI assigned
- Nov 27, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Gina Marie Kelly
- Title
- Owner/Home Administrator
- Phone
- (269) 496-1033
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | AS750239107 | MI | Yes |
Addresses
Primary practice location
55377 Walterspaugh Rd
Mendon, MI 49072-9545
Mailing address
55377 Walterspaugh Rd
Mendon, MI 49072-9545
Phone (269) 496-1033
Other providers in Mendon, MI
All providers in Mendon, MI · Psychiatric Residential Treatment Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2011. 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.