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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROSE MARIE BOUCK

Active Sole Proprietor

ROSE MARIE BOUCK is a Assisted Living Facility healthcare provider located in GOWEN, Michigan. NPI 1073081907 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · GOWEN, MI

Registration Details

NPI Number
1073081907
Provider Type
Individual
Gender
Female
NPI Issued
Nov 8, 2018 (7.7766942070988 yrs)
Last Updated
Nov 8, 2018
License
AF410395782 (MI)
Sole Proprietor
Yes

Practice Information

Address
12700 LINCOLN LAKE AVE
GOWEN, MI, 49326
Browse MI providers · Browse ZIP 49326
Phone
2315804533
Fax
6167126002
Primary Specialty
Assisted Living Facility
311ZA0620X

Other Assisted Living Facility Providers in GOWEN, MI

Name Credential NPI
ANGELA MARIE WELCH 1932637212
FRANCES MARIE WAGNER 1760910814
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.