Lydias House
Lydias House is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in West Olive, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
11667 152nd AveWest Olive, MI 49460-9232
Phone: (616) 844-3059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1659990208 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lydia Hodges — Owner · (616) 844-3059 |
| NPI enumerated | April 14, 2020 |
| Last updated in NPPES | April 14, 2020 |
| Certification date | April 14, 2020 |
| Mailing address | 11667 152nd Ave, West Olive, MI 49460-9232 |