Individual
BETSY PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16658 COTHERMAN LAKE RD, THREE RIVERS, MI 49093-9749
(269) 251-2777
Mailing address
16658 COTHERMAN LAKE RD, THREE RIVERS, MI 49093-9749
(269) 251-2777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2333988
MI
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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