Organization
MICHELLE HANSON
Active
Other names
Sugarloaf Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JEAN HANSON (OWNER OPERATOR)
(269) 323-9745
Entity
Organization
Contact information
Practice address
807 WITTERS CT, PORTAGE, MI 49024-6116
(269) 323-9745
Mailing address
807 WITTERS CT, PORTAGE, MI 49024-6116
(269) 323-9745
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF390379270
MI
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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