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Organization
AEGIN PLACE OF WEST MICHIGAN
Active
Organization
AEGIN PLACE OF WEST MICHIGAN
Active
Other names
Aegin Place of West Michigan LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE GRAGG (OWNER/CEO)
(231) 375-5356
Entity
Organization
Contact information
Practice address
333 W. WESTERN AVE STE 209, MUSKEGON, MI 49440
(231) 375-5356
(231) 756-7211
Mailing address
333 W. WESTERN AVE STE 209, MUSKEGON, MI 49440
(231) 375-5356
(231) 756-7211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
05/11/2007
Last updated
01/03/2020
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