Organization
CAMP ZIP OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULLEE LYNN KAZEN (PRESIDENT)
(313) 405-7041
Entity
Organization
Contact information
Practice address
111 S WALLACE BLVD, YPSILANTI, MI 48197-4644
(313) 405-7041
Mailing address
47554 W HURON RIVER DR, VAN BUREN TWP, MI 48111-4400
(734) 634-9793
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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