Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Lifestyles, Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1730615717

Innovative Lifestyles, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Waterford, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5490 Dixie Hwy Ste 1
Waterford, MI 48329
Phone: (248) 623-8898
Fax: (248) 623-8899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence AS630015466 (MI)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X · Licence AS630279392 (MI)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X · Licence AS630074810 (MI)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X · Licence AS630067389 (MI)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X · Licence AS630279393 (MI)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X · Licence AS630012660 (MI)

Record details

NPI number1730615717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Hurley — Executive Director · (248) 623-8898
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017
Mailing addressPo Box 1258, Clarkston, MI 48347

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