| NPI | 1235594920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY DAWN BARANOWSKI Dental Hygienist 616-776-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: MI 2902009418) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |