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Organization

DEPARTMENT OF HUMAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA AHLBERG (SUPERVISOR)
(906) 399-9219
Entity
Organization

Contact information

Practice address
203 MAPLE ST, AMASA, MI 49903-0031
(906) 203-9154
Mailing address
PO BOX 31, AMASA, MI 49903-0031
(906) 203-9154

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0141620
MI

Other

Enumeration date
01/21/2015
Last updated
01/21/2015
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