Organization
LEVEL ELEVEN HOWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 394-2100
Entity
Organization
Contact information
Practice address
1030 W HIGHLAND RD, HOWELL, MI 48843-8701
(810) 771-7686
Mailing address
805 N WHITTINGTON PKWY STE 400, LOUISVILLE, KY 40222-7102
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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