Individual
LINDA PERRAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 S HICKORY RIDGE RD, MILFORD, MI 48380-1519
(248) 889-3188
Mailing address
1551 S HICKORY RIDGE RD, MILFORD, MI 48380-1519
(248) 889-3188
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
N864801
MI
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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