Organization
ABOVE THE WATER HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRLYN FELICIA ALLEN-POE (OWNER/HOME OPERATOR)
(810) 877-2907
Entity
Organization
Contact information
Practice address
4105 KEYES STREET, FLINT, MI 48504-2294
(810) 877-2907
Mailing address
501 WHITE STREET, FLINT, MI 48505-4131
(810) 087-7190
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
SS210161007
MI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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