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Organization

SON OF MAN

Active
Parent organization
SON OF MAN
Organization subpart
Yes

Provider details

NPI number
Legal business name
SON OF MAN
Authorized official
MR. KARL CORNELIOUS COTTON (CONTACT PERSON)
(269) 277-9142
Entity
Organization

Contact information

Practice address
946 MONROE ST, BENTON HARBOR, MI 49022-4832
(269) 277-9142
Mailing address
946 MONROE ST, BENTON HARBOR, MI 49022-4832
(269) 277-9142

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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