Individual
MARY C MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 HOLYROOD ST, MIDLAND, MI 48640-6309
(989) 631-1266
Mailing address
1119 HOLYROOD ST, MIDLAND, MI 48640-6309
(989) 631-3650
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF560277877
MI
311ZA0620X
Adult Care Home Facility
—
MI
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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