Individual
NIGEL WAYNE JORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2215 BENTBROOK CT SE, KENTWOOD, MI 49508-6313
(616) 246-1144
Mailing address
3287 STORMY CREEK DR SE, KENTWOOD, MI 49512-7902
(616) 551-1452
(616) 710-5769
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AS410311728
MI
3104A0625X
Assisted Living Facility (Mental Illness)
AS410409367
MI
Other
Enumeration date
12/28/2021
Last updated
12/30/2021
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