Organization Name: | KIDS IN MOTION |
NPI Number: | 1063802114 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY HYDORN (PT) |
Mailing Address: | 2636 S. Milford Road Highland |
State: | MI US |
Postal Code: | 48357 |
Phone Number: | 2486849610 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2015 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 5502004079 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |