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Individual

ASNAKECH MENGISTU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1950 N WAVERLY RD, LANSING, MI 48906-3568
(517) 515-3060
Mailing address
1950 N WAVERLY RD, LANSING, MI 48906-3568
(517) 515-3060

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AS330413152
MI
3747A0650X
Attendant Care Provider
AS330413152
MI
374U00000X
Home Health Aide
AS330413152
MI

Other

Enumeration date
03/30/2023
Last updated
03/30/2023
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