TENAGNE MENGISTU

GRAND RAPIDS, MI
NPI1801324538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: MI  AF410315360)
Enumeration Date2017-05-25
Last Update Date2017-05-25
Business Address
TENAGNE MENGISTU
604 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-5218
Phone number: 616-589-4609
Mailing Address
TENAGNE MENGISTU
604 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-5218
Phone number:
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