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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS CONSUELO ROSE MORRIS RN CCM (CEO/RN)
(616) 284-7359
Entity
Organization

Contact information

Practice address
8816 E WOODLANE DR, SPARTA, MI 49345-9490
(616) 284-7359
(866) 810-8049
Mailing address
8816 E WOODLANE DR, SPARTA, MI 49345-9490
(616) 284-7359
(866) 810-8049

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
01/19/2010
Last updated
01/19/2010
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