Individual
GERALYN M BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1439 TOWNSEND TRL NE, ROCKFORD, MI 49341-9792
(616) 443-0227
Mailing address
1439 TOWNSEND TRL NE, ROCKFORD, MI 49341-9792
(616) 443-0227
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS410391727
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS410391727
LICENSE AFC
MI
Enumeration date
04/22/2018
Last updated
06/16/2018
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