Grandi Cancelli 2, LLC
Case Manager/Care Coordinator in Livonia, MI. Organization (NPI-2).
NPI number1902477243
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1902477243
- Entity type
- Organization (NPI-2)
- Legal business name
- Grandi Cancelli 2, LLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2021
- Certification date
- Jul 7, 2021
- Last updated
- Jul 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Other names
- Sage Neurowellness (Doing Business As)
Practice location
17199 N Laurel Park Dr Ste 401Livonia, MI 48152-7905
Phone 734-855-7187 · Fax 734-293-0086
Mailing address
17199 N Laurel Park Dr Ste 401Livonia, MI 48152-7905
Phone 734-855-7187 · Fax 734-293-0086
Authorized official
Monique Kurkowski
President
7348557187
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