Organization
BIG ROCK CANDY MOUNTAIN LLC
Active
Other names
Dream Better
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KEITH COLEMAN (CHIEF OPERATING OFFICER)
(269) 312-0950
Entity
Organization
Contact information
Practice address
2044 S BURDICK ST, KALAMAZOO, MI 49001-3662
(269) 312-0950
Mailing address
6780 EDGEFIELD ST, PORTAGE, MI 49024-1762
(269) 312-0950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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