Organization
ITH OF MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KAY SCHALK (ACCESS MANAGER)
(989) 631-0080
Entity
Organization
Contact information
Practice address
415 JEROME ST, MIDLAND, MI 48640-4960
(989) 631-0080
(989) 631-1825
Mailing address
415 JEROME ST, MIDLAND, MI 48640-4960
(989) 631-0080
(989) 631-1825
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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