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Organization

EAGLES NEST

Active
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Organization

EAGLES NEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KACIE SHAW (OWNER)
(517) 626-2190
Entity
Organization

Contact information

Practice address
13282 S HINMAN RD, EAGLE, MI 48822-9637
(517) 626-2190
Mailing address
13282 S HINMAN RD, EAGLE, MI 48822-9637
(517) 626-2190

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AF190277334
MI

Other

Enumeration date
12/04/2008
Last updated
12/04/2008
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