NPI 1457974388

Leeanne Marie Love Woolley, AFCLICENSEE

Practitioner Custodial Care Facility Gladwin, MI

Practice location

Address: 621 S M 30, Gladwin, MI 48624-8443
Phone: (989) 426-8517

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence AF260401827 (MI)

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Registry record

NPI: 1457974388
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2020
Record last updated: 27 May 2020

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.