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SECRET SCHRAM
>> Home Health Aide >> Nursing Service Related ProvidersRegistrant NPI Number: 1770175036
Individual Registrant: SECRET SCHRAM
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
243 E CAROLINE ST BELLEVUE, MI 49021-1217 US
Tel: 517-213-9761 Fax: --
Tel: 517-213-9761 Fax: --
Contact information for business:
243 E CAROLINE ST BELLEVUE, MI 49021-1217 US
Tel: 517-213-9761 Fax: --
Tel: 517-213-9761 Fax: --
Registration Information:
NPI: 1770175036
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 374U00000X | Nursing Service Related Providers Home Health Aide | ||
| Y | 251E00000X | Agencies Home Health |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
