NPI 1033510169

John Moskal

Practitioner Assisted Living Facility Montgomery, MI

Practice location

Address: 912 Kelley Rd, Montgomery, MI 49255-9787
Phone: (517) 296-4369

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AM120314997 (MI)

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Registry record

NPI: 1033510169
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2014
Record last updated: 8 Sep 2014

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.