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Organization
BRENDAS LITTLE ACRES LLC
Active
Organization
BRENDAS LITTLE ACRES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LEE CANTER (LICENSEE/ADMINISTATOR)
(616) 897-8340
Entity
Organization
Contact information
Practice address
12068 36TH ST SE, LOWELL, MI 49331-9509
(616) 897-8340
(616) 897-8343
Mailing address
12068 36TH ST SE, LOWELL, MI 49331-9509
(616) 897-8340
(616) 897-8343
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AM410293632
MI
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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