Organization
BLUE JAYS LOYAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM LAVETTE MCLAUGHLIN DE LEON (CEO)
(616) 710-7837
Entity
Organization
Contact information
Practice address
2125 SAINT CHARLES AVE SW, GRAND RAPIDS, MI 49507-2342
(616) 710-7837
(616) 245-8969
Mailing address
2125 SAINT CHARLES AVE SW, GRAND RAPIDS, MI 49507-2342
(616) 710-7837
(616) 245-8969
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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