| NPI | 1366657744 |
|---|---|
| Former Legal Business Name | AEGIN PLACE OF WEST MICHIGAN LLC |
| Entity Type | Organization |
| Authorized Contact | LANCE GRAGG Owner/CEO 231-375-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-01-03 |