Individual
MS. LINDA KAY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PARENT
Contact information
Practice address
171 LAURI CIR, JACKSON, MI 49203-6121
(517) 768-8959
Mailing address
171 LAURI CIR, JACKSON, MI 49203-6121
(517) 768-8959
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
385HR2060X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38708672
—
MI
Enumeration date
12/01/2009
Last updated
12/01/2009
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