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Organization
BARABE HOME
Active
Organization
BARABE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRIE ANN LAHTI STATE LICENSE (OWNER/ PRIMARY CARE PROVIDER)
(906) 249-8916
Entity
Organization
Contact information
Practice address
156 MILLER RD, GWINN, MI 49841-8740
(906) 249-8916
Mailing address
156 MILLER RD, GWINN, MI 49841-8740
(906) 249-8916
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
AF520238291
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AF520238291
STATE OF MICH. DEPT. OF HUMAN SERVICES
MI
Enumeration date
02/25/2010
Last updated
02/25/2010
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