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Organization
PLACES LLC
Active
Organization
PLACES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE BUECHE (ADMINISTRATOR)
(616) 302-0808
Entity
Organization
Contact information
Practice address
910 E LINCOLN AVE, IONIA, MI 48846-1393
(616) 527-2370
(616) 527-3824
Mailing address
910 E LINCOLN AVE, IONIA, MI 48846-1393
(616) 527-2370
(616) 527-3824
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
4704172952
MI
163WH0200X
Home Health Registered Nurse
4704176032
MI
207Q00000X
Family Medicine Physician
5101008296
MI
225100000X
Physical Therapist
Primary
5501013000
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538301643
NPI
MI
Enumeration date
02/14/2012
Last updated
02/14/2012
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