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Organization
TRAVERSE CITY RESIDENTIA LCARE, LLC
Active
Organization
TRAVERSE CITY RESIDENTIA LCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELENA (SAM KAY EVANS CAREGIVER (OWNER OF AGENCY/MANAGER/BILLING)
(231) 313-9633
Entity
Organization
Contact information
Practice address
176 ISLAND VIEW DR, TRAVERSE CITY, MI 49696-9313
(231) 313-9633
Mailing address
176 ISLAND VIEW DR, TRAVERSE CITY, MI 49696-9313
(231) 313-9633
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9674527
MI
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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