Individual
JANELLE MARIE ULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31550 TOWNLINE RD, BURR OAK, MI 49030-9799
(269) 503-4879
Mailing address
65120 MIDDLE COLON RD, BURR OAK, MI 49030-9679
(269) 503-4879
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AS750396475
MI
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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