Organization
SUMMIT PROFESSIONAL PLACEMENTS, INC.
Active
Other names
Woodland Homes
Organization subpart
No
Provider details
NPI number
Authorized official
LEDENILA TAGO FONNER (PRESIDENT/SECRETARY)
(269) 815-5190
Entity
Organization
Contact information
Practice address
11165 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1547
(269) 815-5190
(269) 815-5281
Mailing address
11165 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1547
(269) 815-5190
(269) 815-5281
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
AS110299000
MI
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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