JACKLINE ANDREW

PORTAGE, MI
NPI1548155716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: MI  AS390418237)
Enumeration Date2025-06-10
Last Update Date2025-06-10
Business Address
JACKLINE ANDREW
716 IDAHO AVE
PORTAGE, MI 49024-1235
Phone number: 616-528-0138
Mailing Address
JACKLINE ANDREW
716 IDAHO AVE
PORTAGE, MI 49024-1235
Phone number: 616-528-0138
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