Organization
MOONSTONE INC
Active
Other names
Blessed Edge AFC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN ANNE MASON (PRESIDENT)
(269) 685-8329
Entity
Organization
Contact information
Practice address
377 N MAIN ST, PLAINWELL, MI 49080-1368
(269) 685-8329
Mailing address
377 N MAIN ST, PO BOX 377, PLAINWELL, MI 49080-1368
(269) 685-8329
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AF030093563
MI
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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