NPI 1891482212

Jodie Ann Brigham

Practitioner Adult Care Home Facility Edmore, MI

Practice location

Address: 1380 E Main St, Edmore, MI 48829-8413
Phone: (989) 560-9733
Mailing address: 11590 Lakeshore Dr, Lakeview, MI 48850-9708

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence AM590407641 (MI)

Other Custodial Care Facility providers in Michigan →

Registry record

NPI: 1891482212
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2023
Record last updated: 18 Apr 2023

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.