Organization
KM MILHAM CARE LLC
Active
Other names
KM MILHAM CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNEDY OPIYO MWANDA (ADMINISTRATOR)
(269) 929-8436
Entity
Organization
Contact information
Practice address
3320 W MILHAM AVE, PORTAGE, MI 49024-1029
(269) 929-8436
Mailing address
3320 W MILHAM AVE, PORTAGE, MI 49024-1029
(269) 929-8436
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
09/11/2025
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