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Jackson Grayson & Campbell

NPI #1710393798 in Portage, Michigan

Provider Information

NPI Number
1710393798
Entity Type
Organization
Organization Name
Jackson Grayson & Campbell
Primary Specialty
In Home Supportive Care
Enumeration Date
Jul 10, 2014
Last Updated
Jul 10, 2014

Practice Location

Address
6100 NEWPORT RD
Address 2
SUITE 208
City
Portage
State
Michigan
ZIP Code
49002-9235
Phone
(269) 359-4141

Authorized Official

Name
JEFFREY H EMMER
Title
OWNER
Phone
(269) 359-4141

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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