Organization
AEGIN PLACE OF WEST MICHIGAN
Active
Other names
Aegin Place of West Michigan LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE GRAGG (OWNER/CEO)
(231) 375-5356
Entity
Organization
Contact information
Practice address
333 W. WESTERN AVE STE 209, MUSKEGON, MI 49440
(231) 375-5356
(231) 756-7211
Mailing address
333 W. WESTERN AVE STE 209, MUSKEGON, MI 49440
(231) 375-5356
(231) 756-7211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
01/03/2020
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