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GRAND TRAVERSE RESOURCE CENTER NPI 1558048207


NPI Information

NPI: 1558048207
Provider Name: GRAND TRAVERSE RESOURCE CENTER
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1209 E 8TH ST
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 360-8705
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GRAND TRAVERSE RESOURCE CENTER is a day training developmentally disabled services in Traverse City, MI. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. GRAND TRAVERSE RESOURCE CENTER NPI is 1558048207. The provider is registered as an organization entity type.

The provider's business location address is:

1209 E 8TH ST
TRAVERSE CITY, MI
ZIP 49686-938
Phone: (231) 360-8705
Fax: (231) 252-4494

The provider's authorized official is Colette Grace Stephenson .
The authorized official title is Ceo and has the following contact phone number (231) 360-8705.

The enumeration date for this NPI number is 7/3/2023 and was last updated on 7/3/2023.


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
1251300000XLocal Education Agency (LEA)No
2251V00000XVoluntary or CharitableNo
3251C00000XDay Training, Developmentally Disabled ServicesYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.