Organization
SHANNYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON KAY BUSSEY HOME CARE AID (OWNER)
(231) 233-7751
Entity
Organization
Contact information
Practice address
1965 W CONRAD RD, LUDINGTON, MI 49431-9313
(231) 233-7751
Mailing address
1965 W CONRAD RD, LUDINGTON, MI 49431-9313
(231) 233-7751
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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