Individual
MERLE DORCELLE HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5721 CHRISTIE AVE SE, KENTWOOD, MI 49508-6236
(616) 827-1377
Mailing address
5721 CHRISTIE AVE SE, KENTWOOD, MI 49508-6236
(616) 827-1377
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AM410272020
MI
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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