Full Name | Choices Etc.llc |
---|---|
Speciality | Community/behavioral Health |
Location | 545 119th Ave, Martin, Michigan |
Authorized Official Name and Position | Lois M Bush (OWNER/OPERATOR) |
Authorized Official Contact | 2698068184 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Choices Etc.llc 545 119th Ave Martin MI 49070-9740 Ph: (269) 672-2149 | Choices Etc.llc 545 119th Ave Martin MI 49070-9740 Ph: (269) 672-2149 |
NPI Number | 1982971297 |
---|---|
Provider Enumeration Date | 11/30/2011 |
Last Update Date | 11/30/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982971297 | NPI | - | NPPES |
0049746 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | D4278M (Michigan) | Primary |
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