Individual
JACQUELINE RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57501 COUNTY ROAD 365 N, LAWRENCE, MI 49064-9500
(269) 674-3003
Mailing address
57501 COUNTY ROAD 365 N, LAWRENCE, MI 49064-9500
(269) 674-3003
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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