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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