Organization
PENDOGANI GL LLC
Active
Other names
Pendogani GL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY KIBUKU GICHEMI (AGENT)
(616) 821-2213
Entity
Organization
Contact information
Practice address
3675 PONCA CT SW, GRANDVILLE, MI 49418-1775
(616) 821-2213
Mailing address
4654 MIDDLEBURY DR SE, KENTWOOD, MI 49512-3990
(616) 821-2213
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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