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740 32nd St Se Wyoming MI 49548-2329 | |
| (616) 608-3341 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Home Health |
| Location | 740 32nd St Se, Wyoming, Michigan |
| Authorized Official Name and Position | Theresa Latrice Williams (COORDINATOR) |
| Authorized Official Contact | 6166083341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
740 32nd St Se Wyoming MI 49548-2329 Ph: (616) 608-3341 | 740 32nd St Se Wyoming MI 49548-2329 Ph: (616) 608-3341 |
| NPI Number | 1598318560 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598318560 | NPI | - | NPPES |
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