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

Mark Edward Sissell

Individual provider Foster Care Agency · NPI 1972159440

Mark Edward Sissell is a Foster Care Agency in Sand Lake, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

8180 19 Mile Rd
Sand Lake, MI 49343-9455
Phone: (616) 696-2304
Fax: (616) 696-1713
Show map & directions

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

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X · Licence AL410007118 (MI)

Record details

NPI number1972159440
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 12, 2019
Last updated in NPPESAugust 12, 2019
Mailing address8180 19 Mile Rd, Sand Lake, MI 49343-9455