Organization
COVINGTON TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVERNE RAJALA RAJALA (BILLING CLERK)
(906) 355-2291
Entity
Organization
Contact information
Practice address
25390 ELM, COVINGTON, MI 49919-9745
(906) 355-1234
Mailing address
12281 RANDOLPH RD, WATTON, MI 49970-9029
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
071002
MI
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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