Organization
LITTLE RED HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY B HERRELKO (EXECUTIVE DIRECTOR)
(616) 846-5720
Entity
Organization
Contact information
Practice address
311 E EXCHANGE ST, SPRING LAKE, MI 49456-2022
(616) 846-5720
(616) 935-0688
Mailing address
311 E EXCHANGE ST, SPRING LAKE, MI 49456-2022
(616) 846-5720
(616) 935-0688
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154433127/3YMV1
SAM
—
Enumeration date
07/22/2013
Last updated
07/22/2013
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