Individual
SHARON MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67223 M 43, SOUTH HAVEN, MI 49090-8748
(269) 767-1948
Mailing address
67223 M 43, SOUTH HAVEN, MI 49090-8748
(269) 767-1948
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF800417740
MI
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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