Individual
MR. MICHAEL SCOTT WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3584 VALLEY RD, HONOR, MI 49640-9426
(231) 325-2162
Mailing address
3584 VALLEY RD, HONOR, MI 49640-9426
(231) 325-2162
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF100088670
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AF100088670
ADULT FOSTER CARE LICENSE NUMBER
MI
Enumeration date
12/08/2011
Last updated
12/08/2011
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