Organization
FEEDING ESSENTIALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA J STRAIT RN (CO-OWNER)
(616) 422-5494
Entity
Organization
Contact information
Practice address
3639 HAZELWOOD AVE SW, WYOMING, MI 49519-3625
(616) 422-5494
Mailing address
3639 HAZELWOOD AVE SW, WYOMING, MI 49519-3625
(616) 422-5494
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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