Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKLINE ANDREW
Active Sole ProprietorJACKLINE ANDREW is a Assisted Living Facility healthcare provider located in PORTAGE, Michigan. NPI 1548155716 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · PORTAGE, MI
Registration Details
- NPI Number
- 1548155716
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2025 (1.1972048107822 yrs)
- Last Updated
- Jun 10, 2025
- License
-
AS390418237 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
716 IDAHO AVEPORTAGE, MI, 490241235Browse MI providers · Browse ZIP 49024
- Phone
- 6165280138
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Other Assisted Living Facility Providers in PORTAGE, MI
| Name | Credential | NPI |
|---|---|---|
| MR. KENNEDY OPIYO MWANDA | — | 1902584451 |
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.