PROF. Thera Nichols
NPI #1962291666 in Grass Lake, Michigan
Provider Information
- NPI Number
- 1962291666
- Entity Type
- Individual
- Name
- PROF. Thera Nichols
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 1, 2025
- Last Updated
- May 1, 2025
Practice Location
- Address
- 3775 WOLF LAKE RD
- City
- Grass Lake
- State
- Michigan
- ZIP Code
- 49240-9490
- Phone
- (517) 522-5013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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