Individual
LOUIS ANTHONY RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13327 JACKLYN DR, HOLLAND, MI 49424-9534
(616) 594-9319
Mailing address
13327 JACKLYN DR, HOLLAND, MI 49424-9534
(616) 594-9319
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829
NON MEDICAL
MI
Enumeration date
03/20/2019
Last updated
03/20/2019
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