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REBECCA MAE FORBES NPI 1467725234


NPI Information

NPI: 1467725234
Provider Name: REBECCA MAE FORBES

Doing Business As: BLUE MOON HOUSE

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
130 45TH ST
BLOOMINGDALE, MI
ZIP 49026
Phone: (269) 521-4500
Get Directions

REBECCA MAE FORBES is a residential treatment facility, intellectual and/or developmental disabilities in Bloomingdale, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. REBECCA MAE FORBES NPI is 1467725234. The provider is registered as an organization entity type.
The provider Is Doing Business As Blue Moon House.

The provider's business location address is:

130 45TH ST
BLOOMINGDALE, MI
ZIP 49026-502
Phone: (269) 521-4500

The provider's authorized official is Rebecca Mae Forbes .
The authorized official title is Sole Proprietor and has the following contact phone number (269) 521-4500.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 2/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesAS030265913MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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