Individual
TIMOTHY ALAN RANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1564 N M 63, BENTON HARBOR, MI 49022-2759
(269) 429-6176
Mailing address
1564 N M 63, BENTON HARBOR, MI 49022-2759
(269) 429-6176
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS110301777
MI
Other
Enumeration date
03/24/2020
Last updated
03/29/2024
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