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Individual

KAYLEE MAE CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
654 FRESNO CIR SE, GRAND RAPIDS, MI 49548-8598
(616) 570-6370
Mailing address
4747 W RIVER DR NE, COMSTOCK PARK, MI 49321-8969
(616) 773-9943

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
Primary
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
01/04/2021
Last updated
01/04/2021
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