NPI 1003298191

Department of Health and Human Services

Organisation Point of Service Lansing, MI

Practice location

Address: 5330 W Michigan Ave APT 102, Lansing, MI 48917-3364
Phone: (517) 219-3334

Authorised official

Name: Nicole Ruggenbuck
Title: Social Worker
Phone: (517) 887-9712

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence T326398630047 (MI)

Other Point of Service providers in Michigan →

Registry record

NPI: 1003298191
Entity type: Organization
NPI issued: 24 Jun 2015
Record last updated: 24 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.