IndividualActive
Tina Graves
NPI 1225527195 · Intellectual Disabilities Intermediate Care Facility · Holly, MI
Provider details
- NPI number
- 1225527195
- Entity type
- Individual
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
16065 Fish Lake Rd
Holly, MI 48442
Phone: (248) 240-7566
Approximate (ZIP-level) locationGet directions
Mailing address
16065 Fish Lake Rd
Holly, MI 48442-8346
Registry dates
- Enumerated
- 2018-05-07
- Last updated
- 2018-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.