TYLER MARK LY

ROCKFORD, MI
NPI1487182960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: MI  Af410343519)
Enumeration Date2017-05-30
Last Update Date2022-07-21
Business Address
Mr. TYLER MARK LY
5430 POLAR BEAR CT NE
ROCKFORD, MI 49341-7517
Phone number: 616-260-8194
Mailing Address
Mr. TYLER MARK LY
5430 POLAR BEAR CT NE
ROCKFORD, MI 49341-7517
Phone number: 616-260-8194
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