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Larry's Full Service Salon
Respite Care in Lake, Michigan
NPI 1013289438

Larry's Full Service Salon is a Respite Care based in Lake, MI. Larry's Full Service Salon practices in Lake, MI. The NPI Number for Larry's Full Service Salon is 1013289438 and holds a License No. 1865788 (Michigan).

The current practice location address for Larry's Full Service Salon is 10658 Alpine Dr, Lake, MI and can be reached out via phone at 989-544-2200.

Location: 10658 Alpine Dr, Lake, MI, 48632-9722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013289438
Provider Name
Larry's Full Service Salon
Credential
Provider Entity Type
Organization
Address
10658 Alpine Dr, Lake, MI, 48632-9722
Phone Number
989-544-2200
Fax Number
Provider Enumeration Date
01/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1865788 01 MI STATE OF MICHIGAN HOME HELP CARE PROVIDER#1865788(2003)-PRESENT
institution
Provider Business Practice Location Address Details
Address
10658 Alpine Dr
City
Lake
State
Michigan
Zip
48632-9722
Phone Number
989-544-2200
Fax Number
person
Provider Business Mailing Address Details
Address
10658 Alpine Dr
City
Lake
State
Michigan
Zip
48632-9722
Phone Number
989-544-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
1865788 (Michigan)
Definition
Definition to come.
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