Organization
ASSISTED RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LEE NUYEN (BUSINESS MANAGER)
(269) 686-8331
Entity
Organization
Contact information
Practice address
845 STERN ST, ALLEGAN, MI 49010
(269) 686-8331
(269) 686-8433
Mailing address
845 STERN ST, ALLEGAN, MI 49010
(269) 686-8331
(269) 686-8433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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