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Organization

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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANDREA MAHONE (OWNER)
(269) 214-0463
Entity
Organization

Contact information

Practice address
512 SUNRISE CIR, KALAMAZOO, MI 49009-8034
(269) 214-0463
Mailing address
512 SUNRISE CIR, KALAMAZOO, MI 49009-8034

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
NULL

Other

Enumeration date
07/31/2012
Last updated
07/31/2012
About Stedi
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