| NPI | 1891221842 |
|---|---|
| Doing Business As | 4-H CAMP KIDWELL |
| Entity Type | Organization |
| Authorized Contact | KEVIN F KELLY Director 269-521-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2050X Respite Care, Respite Care Camp (Licence: MI CR030200347) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |