Individual
MELISSA SUCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 CHURCHILL RD, LESLIE, MI 49251-9550
(517) 589-9118
Mailing address
PO BOX 603, LESLIE, MI 49251-0603
(517) 589-9118
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS330397180
MI
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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