Organization
MICHIANA GUARDIANSHIP SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE M CLARK (OWNER)
(269) 683-0408
Entity
Organization
Contact information
Practice address
2271 N 5TH ST, NILES, MI 49120-1103
(269) 683-0408
(269) 683-0408
Mailing address
PO BOX 276, 2271 N. 5TH ST., NILES, MI 49120-0276
(269) 683-0408
(269) 683-0408
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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