Organization
NEW OUTLOOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DEMING (OWNER/LICENSEE)
(616) 554-3661
Entity
Organization
Contact information
Practice address
3051 LOWRY CT SE, KENTWOOD, MI 49512-5330
(616) 554-3661
Mailing address
3051 LOWRY CT SE, KENTWOOD, MI 49512-5330
(616) 554-3661
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410285580
MI
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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