Organization
CEDAR CREEK LLC
Active
Other names
Ability In Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC W STOUB (MEMBER)
(269) 757-3778
Entity
Organization
Contact information
Practice address
333 PALLADIUM DR, SAINT JOSEPH, MI 49085-9128
(269) 429-5551
Mailing address
333 PALLADIUM DR, SAINT JOSEPH, MI 49085-9128
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MI
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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