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Annie Shade
NPI 1093647257 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1800 S 35th St
Galesburg, MI 49053 - Phone
- (269) 250-8200
- Organisation at this address
- Residential Opportunities, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 69
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan