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1801396650
MERLE DORCELLE HAINES
KENTWOOD, MI
NPI
1801396650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
(Licence: MI AM410272020)
Enumeration Date
2018-02-19
Last Update Date
2018-02-19
Business Address
MERLE DORCELLE HAINES
5721 CHRISTIE AVE SE
KENTWOOD, MI 49508-6236
Phone number: 616-827-1377
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Mailing Address
MERLE DORCELLE HAINES
5721 CHRISTIE AVE SE
KENTWOOD, MI 49508-6236
Phone number: 616-827-1377
Copy
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