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Individual

MRS. NERVILYN JENKINS-ATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2215 BENTBROOK CT SE, KENTWOOD, MI 49508-6313
(616) 318-6038
Mailing address
2215 BENTBROOK CT SE, KENTWOOD, MI 49508
(616) 318-6038

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410385995
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
311ZAO62OX
ADULT CARE HOME
MI
Enumeration date
05/31/2017
Last updated
07/21/2022
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