Individual
MARCIE LEE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7774 DICKERSON LAKE RD, GREENVILLE, MI 48838-9241
(616) 894-0660
Mailing address
7774 DICKERSON LAKE RD, GREENVILLE, MI 48838-9241
(616) 894-0660
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF590310562
MI
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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