MISS Martha Guardado, 311ZA0620X

NPI #1952830143 in Kentwood, Michigan

Provider Information

NPI Number
1952830143
Entity Type
Individual
Name
MISS Martha Guardado, 311ZA0620X
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Credential
311ZA0620X
Enumeration Date
Jun 9, 2017
Last Updated
Jun 9, 2017

Practice Location

Address
5689 GENTIAN CT SE
ZIP Code
49508-6403
Phone
(616) 325-0222

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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