OrganizationActive
Mabel Avenue Home
NPI 1174866610 · Exclusive Provider Organization · Flint, MI
Provider details
- NPI number
- 1174866610
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Mary Lewis, Owner(810) 820-7279
- License
- AS250337649 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
1446 Mabel Ave
Flint, MI 48506-3343
Phone: (810) 820-7279
Fax: (810) 820-7279
Approximate (ZIP-level) locationGet directions
Mailing address
1446 Mabel Ave
Flint, MI 48506-3343
Registry dates
- Enumerated
- 2013-04-03
- Last updated
- 2013-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.