Ith Of Michigan LLC
Technician, Attendant Care Provider in Midland, MI. Organization (NPI-2).
NPI number1447928023
StatusActive
Last updated in NPPESAug 31, 2021
Details
- NPI
- 1447928023
- Entity type
- Organization (NPI-2)
- Legal business name
- Ith Of Michigan LLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2021
- Certification date
- Aug 31, 2021
- Last updated
- Aug 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
415 Jerome StMidland, MI 48640-4960
Phone 989-631-0080 · Fax 989-631-1825
Mailing address
415 Jerome StMidland, MI 48640-4960
Phone 989-631-0080 · Fax 989-631-1825
Authorized official
Susan Kay Schalk
Access Manager
9896310080
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