TERRY LEE MCCULLOUGH

BLOOMINGDALE, MI
NPI1801530571
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
(Licence: MI  9689166)
Enumeration Date2022-04-27
Last Update Date2022-04-27
Business Address
Mr. TERRY LEE MCCULLOUGH MSW
01546 COUNTY ROAD 665
BLOOMINGDALE, MI 49026-8756
Phone number: 269-512-6163
Mailing Address
Mr. TERRY LEE MCCULLOUGH MSW
01546 COUNTY ROAD 665
BLOOMINGDALE, MI 49026-8756
Phone number: 269-512-6163
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