Organization
AH WYOMING SUBTENANT LLC
Active
Other names
American House Wyoming
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LOU ALEXANDER (COMPLIANCE DIRECTOR)
(248) 392-5521
Entity
Organization
Contact information
Practice address
5812 VILLAGE DR SW, WYOMING, MI 49519-9647
(616) 622-2420
(616) 531-0251
Mailing address
5812 VILLAGE DR SW, WYOMING, MI 49519-9647
(616) 622-2420
(616) 531-0251
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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