NPI 1003645680

Tustin House LLC

Organisation Foster Care Agency Tustin, MI

Practice location

Address: 17544 20 Mile Rd, Tustin, MI 49688-8514
Phone: (231) 429-4941
Fax: (231) 306-5912

Authorised official

Name: Nicole Mekenzie Haney
Title: Owner
Phone: (231) 429-4941

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X

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Registry record

NPI: 1003645680
Entity type: Organization
NPI issued: 31 Jul 2024
Record last updated: 31 Jul 2024

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.