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Organization

WTC SUB LLC

Active
Parent organization
WHITCOMB HOLDINGS LLC
Other names
THE WHITCOMB
Organization subpart
Yes

Provider details

NPI number
Legal business name
WHITCOMB HOLDINGS LLC
Authorized official
MR. MICHAEL A BECKETT (MANAGING MEMBER)
(630) 364-0208
Entity
Organization

Contact information

Practice address
509 SHIP ST, SAINT JOSEPH, MI 49085-1118
(269) 983-2513
Mailing address
509 SHIP ST, SAINT JOSEPH, MI 49085-1118
(269) 983-2513

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
09/02/2020
Last updated
09/02/2020
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