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Organization
AH WYOMING SUBTENANT LLC
Active
Organization
AH WYOMING SUBTENANT LLC
Active
Other names
American House Wyoming
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LOU ALEXANDER (COMPLIANCE DIRECTOR)
(248) 392-5521
Entity
Organization
Contact information
Practice address
5812 VILLAGE DR SW, WYOMING, MI 49519-9647
(616) 622-2420
(616) 531-0251
Mailing address
5812 VILLAGE DR SW, WYOMING, MI 49519-9647
(616) 622-2420
(616) 531-0251
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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