SearchMichiganCustodial Care Facility

Jennipher Gibbons

NPI 1609595024 · on the registry since 2022 · sole proprietor

Practice

Address
1850 W Michigan Ave
Edmore, MI 48829
Phone
(989) 560-1301

Registry record

Primary taxonomy
Custodial Care Facility
311Z00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-29

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