SHANNON M PACKINGHAM

BENTON HARBOR, MI
NPI1225651268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-05-26
Last Update Date2020-05-26
Business Address
Mr. SHANNON M PACKINGHAM
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-934-0585
Mailing Address
Mr. SHANNON M PACKINGHAM
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-934-0585