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Organization
BG II LLC
Active
Organization
BG II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE G INNES (OWNER)
(248) 562-7056
Entity
Organization
Contact information
Practice address
2109 GOLFVIEW DR APT 101, TROY, MI 48084-3926
(248) 562-7056
Mailing address
5163 N. KELLEN COURT, BLOOMFIELD, MI 48302
(248) 562-7056
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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