Organization
KISS ENT LLC
Active
Other names
Kiss ent LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DALE M GANT II LPN (OWNER)
(616) 272-6896
Entity
Organization
Contact information
Practice address
2908 GIDDINGS AVE SE, GRAND RAPIDS, MI 49508-1430
(616) 272-6896
Mailing address
2908 GIDDINGS AVE SE, GRAND RAPIDS, MI 49508-1430
(616) 272-6896
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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