Organization
RESTORATIVE OUTDOOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC RICHARD NIEMI BS, CBIS (OWNER / MANAGER)
(231) 714-4450
Entity
Organization
Contact information
Practice address
6874 WILDWOOD TRL SW, SOUTH BOARDMAN, MI 49680-9588
(231) 714-4450
Mailing address
6874 WILDWOOD TRL SW, SOUTH BOARDMAN, MI 49680-9588
(231) 714-4450
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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