IndividualActive
Colene Snowden, AFC PROVIDER
NPI 1780112383 · Intellectual Disabilities Intermediate Care Facility · Fenton, MI
Provider details
- NPI number
- 1780112383
- Entity type
- Individual
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Credential
- AFC PROVIDER
- Sex
- Female
- Sole proprietor
- Yes
- License
- AF630004934 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
18331 Tipsico Lake Rd
Fenton, MI 48430-8554
Phone: (810) 629-0251
Fax: (810) 629-0251
Approximate (ZIP-level) locationGet directions
Mailing address
18331 Tipsico Lake Rd
Fenton, MI 48430-8554
Registry dates
- Enumerated
- 2017-05-25
- Last updated
- 2017-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.