Organization
M.O.M
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA ANN DUFLO CNA (CERTIFIED NURSE AIDE)
(616) 594-4465
Entity
Organization
Contact information
Practice address
9276 MONROE RD, LAKE, MI 48632-9108
(616) 594-4465
Mailing address
9276 MONROE RD, LAKE, MI 48632-9108
(616) 594-4465
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
230006976540402
MI
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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