Platinum Living Llc

NPI Provider: 1588094775
Contact Name: WODARSKI BRENDA
Position: ADMINISTRATOR
Phone: (616) 540-3038

Platinum Living Llc Information:

Platinum Living Llc organization have npi 1588094775, taxonomy code is 310400000X with license number is AS700317377 in . This Business address located in 3761 BRADWOOD CT NW, WALKER, MI 49534 Michigan.

Practice Location
Address: 3109 S BLUFF CT, HUDSONVILLE, MI 49426
Phone: (616) 209-5029

Business Location
Address: 3761 BRADWOOD CT NW, WALKER, MI 49534
Phone: (616) 540-3038

Taxonomy

Taxonomy Code: 310400000X

License Number: AS700317377

License Number of State: MI

Primary Taxonomy Switch: Y

Enumeration Date: 11/25/13

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