Organization
PALMER'S PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIA MARI WOODCOCK (ADMINISTRATOR OF AFC)
(989) 444-1597
Entity
Organization
Contact information
Practice address
1009 S. ST. JOHNS RD, ITHACA, MI 48847
(989) 875-3745
(989) 875-3759
Mailing address
11345 W. ST. CHARLES RD, SUMNER, MI 48889
(989) 444-1597
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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