Organization
GODSCHILD77 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARIE DEWEY CLIA WAIVED CERT. (CEO/OWNER)
(517) 442-8709
Entity
Organization
Contact information
Practice address
1690 WATERTOWER PL STE 100-214, EAST LANSING, MI 48823-8046
(517) 442-8709
Mailing address
5235 CROCUS AVE, LANSING, MI 48911-3734
(517) 442-8709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/27/2025
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