Organization
COUNTY OF KALAMAZOO
Active
Other names
Kalamazoo County Health & Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS HOMNICK M.D. (MEDICAL DIRECTOR)
(269) 373-5261
Entity
Organization
Contact information
Practice address
3299 GULL RD, KALAMAZOO, MI 49048-1281
(269) 373-5259
(269) 373-5292
Mailing address
3299 GULL RD, KALAMAZOO, MI 49048-1281
(269) 373-5259
(269) 373-5292
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4686786
—
MI
Enumeration date
06/05/2007
Last updated
07/28/2016
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