Brendas Little Acres LLC

NPI #1760922637 in Lowell, Michigan

Provider Information

NPI Number
1760922637
Entity Type
Organization
Organization Name
Brendas Little Acres LLC
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Feb 27, 2017
Last Updated
Feb 27, 2017

Practice Location

Address
12068 36TH ST SE
City
Lowell
ZIP Code
49331-9509
Phone
(616) 897-8340

Authorized Official

Name
MRS. BRENDA LEE CANTER
Title
LICENSEE/ADMINISTATOR
Phone
(616) 897-8340

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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