Individual
CYNTHIA ANGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 E MICHIGAN HWY, ROSCOMMON, MI 48653-8757
(989) 275-8936
(989) 275-4808
Mailing address
1290 E MICHIGAN HWY, ROSCOMMON, MI 48653-8757
(989) 275-8936
(989) 275-4808
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5201003740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201003740
OT LICENCE 5201003740
MI
Enumeration date
12/01/2013
Last updated
12/01/2013
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