Organization
SPECTRUM NEST CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYONNA NICOLE DANTZLER (OWNER)
(313) 791-4772
Entity
Organization
Contact information
Practice address
623 EASTERN AVE SE APT 417, GRAND RAPIDS, MI 49503-5580
(313) 791-4772
Mailing address
623 EASTERN AVE SE APT 417, GRAND RAPIDS, MI 49503-5580
(313) 791-4772
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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