Organization
TIDY HOME & HEALTH CLEANING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PA'SHUN MINTER (OWNER)
(616) 915-0680
Entity
Organization
Contact information
Practice address
1511 BRIDGE ST NW APT 360, GRAND RAPIDS, MI 49504-1706
(616) 915-0680
Mailing address
1511 BRIDGE ST NW APT 360, GRAND RAPIDS, MI 49504-1706
(616) 915-0680
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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