| Hjg Farm Llc | |
|
240 S Bridge St Suite 220 Dewitt MI 48820-8825 | |
| (517) 277-0200 | |
| Not Available |
| Full Name | Hjg Farm Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 240 S Bridge St, Dewitt, Michigan |
| Authorized Official Name and Position | Heidi Jo Glew (OWNER) |
| Authorized Official Contact | 5172905648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hjg Farm Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Hjg Farm Llc 240 S Bridge St Suite 220 Dewitt MI 48820-8825 Ph: (517) 277-0200 |
| NPI Number | 1881932275 |
|---|---|
| Provider Enumeration Date | 01/21/2013 |
| Last Update Date | 01/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881932275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801085158 (Michigan) | Primary |
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