IndividualActive
Giuseppina Bommartio
NPI 1699284638 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Macomb, MI
Provider details
- NPI number
- 1699284638
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- AF500286925 (MI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense AF500286925 (MI)
Residential Treatment Facilities
Practice location
16004 Tulip Dr
Macomb, MI 48042-5806
Phone: (586) 992-2669
Approximate (ZIP-level) locationGet directions
Mailing address
16004 Tulip Dr
Macomb, MI 48042-5806
Registry dates
- Enumerated
- 2017-09-21
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.