Individual
MRS. MELISSA MARIA LUNA-KEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5135 E MOUNT MORRIS RD, MOUNT MORRIS, MI 48458-9721
(810) 515-4278
Mailing address
5135 E MOUNT MORRIS RD, MOUNT MORRIS, MI 48458-9721
(810) 515-4278
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AS250010894
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AS250010894
MI
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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