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

Raekesha Lachelle McMillian

Individual provider Assisted Living Facility (Behavioral Disturbances) · NPI 1053837922

Raekesha Lachelle McMillian is an Assisted Living Facility (Behavioral Disturbances) in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

820 Watkins St SE
Grand Rapids, MI 49507-1345
Phone: (616) 427-4570
Show map & directions

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

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X · Licence AS410388538 (MI)

Record details

NPI number1053837922
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 22, 2017
Last updated in NPPESAugust 22, 2017

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