Organization
GLCI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENISE OLDENBURG (PRESIDENT)
(989) 708-3772
Entity
Organization
Contact information
Practice address
3800 W FIKE RD, COLEMAN, MI 48618-8534
(989) 465-6606
(877) 465-6606
Mailing address
3800 W FIKE RD, COLEMAN, MI 48618-8534
(989) 465-6606
(877) 465-6606
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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