Organization
WALLACE STREET PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE LEE SEIFERT DIPLOMA (ADMINISTRATOR)
(989) 847-2188
Entity
Organization
Contact information
Practice address
211 W WALLACE ST, ASHLEY, MI 48806-9605
(989) 847-2188
(989) 847-2183
Mailing address
211 W WALLACE ST, ASHLEY, MI 48806-9605
(989) 847-2188
(989) 847-2183
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL290252478
MI
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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