Organization
COMMUNITY LINX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DUANA BENN BSW (EXECUTIVE DIRECTOR)
(517) 574-2987
Entity
Organization
Contact information
Practice address
8291 ROLLING HILL LN, GRAND LEDGE, MI 48837-9251
(517) 574-2987
(517) 622-8012
Mailing address
8291 ROLLING HILL LN, GRAND LEDGE, MI 48837-9251
(517) 574-2987
(517) 622-8012
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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