ROSE MARIE BOUCK

GOWEN, MI
NPI1073081907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: MI  Af410395782)
Enumeration Date2018-11-08
Last Update Date2018-11-08
Business Address
ROSE MARIE BOUCK
12700 LINCOLN LAKE AVE
GOWEN, MI 49326
Phone number: 231-580-4533
Mailing Address
ROSE MARIE BOUCK
12700 LINCOLN LAKE AVE
GOWEN, MI 49326-9403
Phone number: 231-580-4533
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