Individual
LENA BHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29659 BIRCHWOOD ST, INKSTER, MI 48141-1025
(734) 686-7432
Mailing address
50800 BOG RD, VAN BUREN TWP, MI 48111-4269
(734) 686-7432
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AS520385285
MI
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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