Individual
MRS. MELINDA D LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 E. HOME STREET, EDMORE, MI 48829
(989) 427-3085
Mailing address
PO BOX 47, EDMORE, MI 48829-0047
(989) 427-3085
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF590325513
MI
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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