Organization
RAY OF HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEWELIE M SHUKLA MEA (OWNER)
(989) 633-3348
Entity
Organization
Contact information
Practice address
2706 ASHMAN ST, MIDLAND, MI 48640-4407
(989) 633-3348
(989) 633-3358
Mailing address
2706 ASHMAN ST, MIDLAND, MI 48640-4407
(989) 687-2562
(989) 633-3358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64736K
FINGERPRINITING ID
MI
Enumeration date
03/21/2007
Last updated
08/22/2020
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