Mrs. Lavel Irene Smith

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1023387115

Mrs. Lavel Irene Smith is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gladwin, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in: MI
In the registry since: 2011

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Practice location Address checks out

311 S Clarwin Ave
Gladwin, MI 48624-9401
Phone: (989) 429-3272

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Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary)	Taxonomy 320600000X · Licence AF260002059 (MI)

Record details

NPI number	1023387115
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	December 20, 2011
Last updated in NPPES	December 20, 2011