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Stable Way LLC

Counselor in South Rockwood, MI. Organization (NPI-2).

NPI number1154976751
StatusActive
Last updated in NPPESJan 28, 2020

Details

NPI
1154976751
Entity type
Organization (NPI-2)
Legal business name
Stable Way LLC
Organization subpart
No
Enumeration date
Aug 9, 2019
Certification date
Jan 28, 2020
Last updated
Jan 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

13072 Armstrong Rd
South Rockwood, MI 48179-9744

Phone 734-931-6004

Mailing address

13072 Armstrong Rd
South Rockwood, MI 48179-9744

Phone 734-931-6004

Authorized official

Amy Wertenberger
Owner
7349316004

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