| Organization Name: | ALHAMBRA ST. FRANCIS CAMP ON THE LAKE |
| NPI Number: | 1194093500 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIKE L CARPENTER (SECRETARY) |
| Mailing Address: | 10120 Murrey Rd Jerome |
| State: | MI US |
| Postal Code: | 492499534 |
| Phone Number: | 5176889212 |
| Fax Number: | 5176889298 |
| NPI Enumeration Date: | 12/13/2011 |
| NPI Last Update Date: | 12/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385HR2050X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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. |