Organization
LIFECIRCLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HOLMES MILLS M.S.W. (EXECUTIVE DIRECTOR)
(231) 733-8686
Entity
Organization
Contact information
Practice address
560 SEMINOLE RD, MUSKEGON, MI 49444-3720
(231) 733-8686
(231) 733-8683
Mailing address
560 SEMINOLE RD, MUSKEGON, MI 49444-3720
(231) 733-8686
(231) 733-8683
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
H2936
MI
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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