M.O.M

LAKE, MI
NPI1982964144
Entity TypeOrganization
Authorized ContactSYLVIA ANN DUFLO
Certified Nurse Aide
616-594-4465
Organization Subpart ?No
Primary Taxonomy251J00000X Nursing Care
(Licence: MI  230006976540402)
Enumeration Date2012-05-22
Last Update Date2012-05-22
Business Address
M.O.M
9276 MONROE RD
LAKE, MI 48632-9108
Phone number: 616-594-4465
Mailing Address
M.O.M
9276 MONROE RD
LAKE, MI 48632-9108
Phone number: 616-594-4465