Organization
LIFE SERVICES SYSTEM OF OTTAWA COUNTY
Active
Other names
Life Services Parent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA DEPREE (DIRECTOR)
(616) 396-7566
Entity
Organization
Contact information
Practice address
11172 ADAMS ST, HOLLAND, MI 49423-9163
(616) 396-7566
(616) 396-6893
Mailing address
11172 ADAMS ST, HOLLAND, MI 49423-9163
(616) 396-7566
(616) 396-6893
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
6801096280
MI
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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