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Organization
MCAP FENNVILLE OPCO LLC
Active
Organization
MCAP FENNVILLE OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL PARKER (AUTHORIZED OFFICIAL)
(434) 220-1055
Entity
Organization
Contact information
Practice address
2464 55TH ST, FENNVILLE, MI 49408-8448
(269) 561-4663
(269) 561-2440
Mailing address
915 E HIGH ST STE 600, CHARLOTTESVILLE, VA 22902-4820
(434) 220-1055
(434) 322-3211
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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