Individual
KIMBERLY HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 E CENTER ST, ITHACA, MI 48847-1411
(989) 875-7405
(989) 875-8685
Mailing address
145 E CENTER ST, ITHACA, MI 48847-1411
(989) 875-7405
(989) 875-8685
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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