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

MR. KENNEDY OPIYO MWANDA

Active Sole Proprietor

MR. KENNEDY OPIYO MWANDA is a Assisted Living Facility healthcare provider located in PORTAGE, Michigan. NPI 1902584451 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · PORTAGE, MI

Registration Details

NPI Number
1902584451
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2023 (3.1267807892951 yrs)
Last Updated
Jul 6, 2023
License
AS390410848 (MI)
Sole Proprietor
Yes

Practice Information

Address
3320 W MILHAM AVE
PORTAGE, MI, 490241029
Browse MI providers · Browse ZIP 49024
Phone
2699298436
Primary Specialty
Assisted Living Facility
311ZA0620X

Other Assisted Living Facility Providers in PORTAGE, MI

Name Credential NPI
JACKLINE ANDREW 1548155716
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.