Organization
BIG FIVE, LLC
Active
Other names
Big Five, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEYONIE JAMES (OWNER/LICENSEE DESIGNEE)
(702) 628-6809
Entity
Organization
Contact information
Practice address
1718 ELMWOOD RD, LANSING, MI 48917-1550
(702) 628-6809
Mailing address
1718 ELMWOOD RD, LANSING, MI 48917-1550
(702) 628-6809
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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