PACKARD SPECIALIZED RESIDENTIAL NPI 1225633035

NPI Information

  • NPI: 1225633035
  • Provider Name: PACKARD SPECIALIZED RESIDENTIAL
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1173 S PACKARD AVE
    BURTON, MI
    ZIP 48509
  • Phone: (810) 288-2226

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NPI Details

PACKARD SPECIALIZED RESIDENTIAL is an assisted living facility in Burton, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PACKARD SPECIALIZED RESIDENTIAL NPI is 1225633035. The provider is registered as an organization entity type.

The provider's business location address is:

1173 S PACKARD AVE
BURTON, MI
ZIP 48509-311
Phone: (810) 288-2226
Fax: (810) 462-1093

The provider's authorized official is Mitchell F Naegele .
The authorized official title is Administrator and has the following contact phone number (810) 288-2226.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 12/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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