Doctor Name: | MS. LATRIS D POINTER |
NPI Number: | 1144450404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AS820297879 |
Business Practice Address: | 11376 Norborne Redford, MI - 482392154 |
Business Phone Number: | 3136827973 |
Business Fax Number: | |
Mailing Address: | 11376 Norborne, REDFORD |
State: | MI |
Postal Code: | 482392154 |
Phone Number: | 3136827973 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2009 |
NPI Last Update Date: | 07/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385HR2050X |
License Number: | AS820297879 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | Respite Care Camp |
Taxonomy Definition: | A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, mental retardation, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition. |