Organization
MUNIFICENT HOMES LLC
Active
Other names
Munificent Homes LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMON M PANGALALA (ADMINISTRATOR)
(234) 788-5311
Entity
Organization
Contact information
Practice address
5612 SUMMER RIDGE HL APT H, KALAMAZOO, MI 49009-1046
(234) 788-5311
Mailing address
5612 SUMMER RIDGE HL APT H, KALAMAZOO, MI 49009-1046
(234) 788-5311
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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