Individual
KATHLEEN BURCUSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18700 DEERING ST, LIVONIA, MI 48152-3735
(248) 777-0015
Mailing address
18700 DEERING ST, LIVONIA, MI 48152-3735
(248) 777-0015
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AS820283452
MI
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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