Laurie A Bogema

Individual provider Active NPI Personal Care Attendant · Cedar Springs, MI

NPI 1053177352 · NPPES record last updated Feb 23, 2024

Key facts

NPI
1053177352
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
40 Clear Lake Dr NE
Cedar Springs, MI 49319-8150
Phone
(248) 762-7704
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

40 Clear Lake Dr NE
Cedar Springs, MI 49319-8150

Mailing address

40 Clear Lake Dr NE
Cedar Springs, MI 49319-8150
Phone (248) 762-7704

Other providers in Cedar Springs, MI

All providers in Cedar Springs, MI · Personal Care Attendant in Michigan

Sources for this page

Verify at the official NPI Registry.