| Km Milham Care Llc | |
|
3320 W Milham Ave Portage MI 49024-1029 | |
| (269) 929-8436 | |
| Not Available |
| Full Name | Km Milham Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3320 W Milham Ave, Portage, Michigan |
| Authorized Official Name and Position | Kennedy Opiyo Mwanda (ADMINISTRATOR) |
| Authorized Official Contact | 2699298436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Km Milham Care Llc 3320 W Milham Ave Portage MI 49024-1029 Ph: (269) 929-8436 | Km Milham Care Llc 3320 W Milham Ave Portage MI 49024-1029 Ph: (269) 929-8436 |
| NPI Number | 1366122202 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366122202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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