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THERA NICHOLS

Assisted Living Facility

NPI: 1962291666Individual

Specialties, Licenses & Credentials

Assisted Living Facility

Code: 310400000X

380418074(MI)

Contact & Hours

Address
3775 WOLF LAKE RD
GRASS LAKE, MI 49240

Quick Facts

NPI
1962291666
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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