| Alamo | |
|
626 Reed Ave Kalamazoo MI 49001-2971 | |
| (269) 343-6355 | |
| (269) 343-0054 |
| Full Name | Alamo |
|---|---|
| Speciality | Foster Care Agency |
| Location | 626 Reed Ave, Kalamazoo, Michigan |
| Authorized Official Name and Position | Lorinda June Anderson (DIRECTOR QA) |
| Authorized Official Contact | 2693436355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamo 626 Reed Ave Kalamazoo MI 49001-2971 Ph: (269) 343-6355 | Alamo 626 Reed Ave Kalamazoo MI 49001-2971 Ph: (269) 343-6355 |
| NPI Number | 1801301957 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801301957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6802046743 (Michigan) | Secondary |
| 253J00000X | Foster Care Agency | AS390291227 (Massachusetts) | Primary |
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