Organization
ED ROSS LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL TACKETT (PRESIDENT)
(269) 419-0135
Entity
Organization
Contact information
Practice address
25880 HILL RD, ALBION, MI 49224-9711
(517) 629-4178
Mailing address
PO BOX 263, ALBION, MI 49224-0263
(517) 629-4178
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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