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Mr. John Moskal
Assisted Living Facility in Montgomery, Michigan
NPI 1033510169

John Moskal is an Assisted Living Facility based in Montgomery, MI. John Moskal practices in Montgomery, MI. The NPI Number for John Moskal is 1033510169 and holds a License No. AM120314997 (Michigan).

The current practice location address for John Moskal is 912 Kelley Rd, Montgomery, MI and can be reached out via phone at 517-296-4369.

Location: 912 Kelley Rd, Montgomery, MI, 49255-9787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033510169
Provider Name
John Moskal
Credential
Provider Entity Type
Individual
Gender
Male
Address
912 Kelley Rd, Montgomery, MI, 49255-9787
Phone Number
517-296-4369
Fax Number
Provider Enumeration Date
09/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
912 Kelley Rd
City
Montgomery
State
Michigan
Zip
49255-9787
Phone Number
517-296-4369
Fax Number
person
Provider Business Mailing Address Details
Address
912 Kelley Rd
City
Montgomery
State
Michigan
Zip
49255-9787
Phone Number
517-296-4369
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AM120314997 (Michigan)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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