Individual
SABRINA COSTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
637 N WELLS AVE, BENTON HARBOR, MI 49022-7711
(269) 332-9841
Mailing address
4891 E BRITAIN AVE, BENTON HARBOR, MI 49022-9731
(269) 487-0744
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
5574025
MI
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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