Organization
TUSTIN HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MEKENZIE HANEY (OWNER)
(231) 429-4941
Entity
Organization
Contact information
Practice address
17544 20 MILE RD, TUSTIN, MI 49688-8514
(231) 429-4941
(231) 306-5912
Mailing address
17544 20 MILE RD, TUSTIN, MI 49688-8514
(231) 429-4941
(231) 306-5912
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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