MR. Tyler Mark Ly

NPI #1487182960 in Rockford, Michigan

Provider Information

NPI Number
1487182960
Entity Type
Individual
Name
MR. Tyler Mark Ly
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
May 30, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
5430 POLAR BEAR CT NE
ZIP Code
49341-7517
Phone
(616) 260-8194

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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