Individual
MRS. REBECCA ANN ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6528 LAFOUNTAINE DR, PLAINWELL, MI 49080-8233
(269) 664-4328
Mailing address
6528 LAFOUNTAINE DR, PLAINWELL, MI 49080-8233
(269) 664-4328
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
AFO080294826
MI
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
AFO080294826
MI
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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