NPI | 1437448552 |
---|---|
Former Name | NANCI LYNNE VAN KAMPEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MI AF700355378) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2011-03-29 |
Last Update Date | 2018-11-19 |