Individual
IRENE HALDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8933 GEORGE AVE, BERRIEN SPRINGS, MI 49103-1576
(269) 473-6006
Mailing address
8933 GEORGE AVE, BERRIEN SPRINGS, MI 49103-1576
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
110320288
MI
Other
Enumeration date
04/25/2023
Last updated
06/01/2023
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