| Aegin Place Of West Michigan | |
|
333 W. Western Ave Ste 209 Muskegon MI 49440 | |
| (231) 375-5356 | |
| (231) 756-7211 |
| Full Name | Aegin Place Of West Michigan |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 333 W. Western Ave Ste 209, Muskegon, Michigan |
| Authorized Official Name and Position | Lance Gragg (OWNER/CEO) |
| Authorized Official Contact | 2313755356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegin Place Of West Michigan 333 W. Western Ave Ste 209 Muskegon MI 49440 Ph: (231) 375-5356 | Aegin Place Of West Michigan 333 W. Western Ave Ste 209 Muskegon MI 49440 Ph: (231) 375-5356 |
| NPI Number | 1366657744 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366657744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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