Organization
MICHIGAN INFANT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L HARRIS BARNES (CEO)
(586) 439-8697
Entity
Organization
Contact information
Practice address
28807 MAPLE ST, ROSEVILLE, MI 48066-2590
(586) 439-8697
Mailing address
28807 MAPLE ST, ROSEVILLE, MI 48066-2590
(586) 439-8697
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MI
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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