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Mr. Kennedy Opiyo Mwanda
Adult Care Home Facility in Portage, Michigan
NPI 1902584451

Kennedy Opiyo Mwanda is an Adult Care Home Facility based in Portage, MI and is specialized in Adult Care Home. Kennedy Opiyo Mwanda practices in Portage, MI. The NPI Number for Kennedy Opiyo Mwanda is 1902584451 and holds a License No. AS390410848 (Michigan).

The current practice location address for Kennedy Opiyo Mwanda is 3320 W Milham Ave, Portage, MI and can be reached out via phone at 269-929-8436.

Location: 3320 W Milham Ave, Portage, MI, 49024-1029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902584451
Provider Name
Kennedy Opiyo Mwanda
Credential
Provider Entity Type
Individual
Gender
Male
Address
3320 W Milham Ave, Portage, MI, 49024-1029
Phone Number
269-929-8436
Fax Number
Provider Enumeration Date
07/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3320 W Milham Ave
City
Portage
State
Michigan
Zip
49024-1029
Phone Number
269-929-8436
Fax Number
person
Provider Business Mailing Address Details
Address
3320 W Milham Ave
City
Portage
State
Michigan
Zip
49024-1029
Phone Number
269-929-8436
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AS390410848 (Michigan)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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