Tustin House LLC

NPI #1003645680 in Tustin, Michigan

Provider Information

NPI Number: 1003645680
Entity Type: Organization
Organization Name: Tustin House LLC
Primary Specialty: Foster Care Agency
Enumeration Date: Jul 31, 2024
Last Updated: Jul 31, 2024

Practice Location

Address: 17544 20 MILE RD
City: Tustin
State: Michigan
ZIP Code: 49688-8514
Phone: (231) 429-4941

Authorized Official

Name: NICOLE MEKENZIE HANEY
Title: OWNER
Phone: (231) 429-4941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Foster Care Agency	253J00000X	Primary

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