MRS. DESHRA VINES

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Individual
NPI: 1255576765

Practice Address

714 LIPPINCOTT BLVD
Flint, MI 48503

Phone: (810) 233-6696

Specialties

Specialty Code Primary License
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X Yes AS250263327 (MI)

Frequently Asked Questions

NPI 1255576765 is the National Provider Identifier for MRS. DESHRA VINES, a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Flint, MI. This NPI was enumerated on December 11, 2008.
MRS. DESHRA VINES practices at 714 LIPPINCOTT BLVD, Flint, MI 48503.

Quick Facts

NPI
1255576765
Type
Individual
Enumerated
Dec 11, 2008
Last Updated
Dec 11, 2008

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