Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. THERA NICHOLS
Active Sole ProprietorPROF. THERA NICHOLS is a Assisted Living Facility healthcare provider located in GRASS LAKE, Michigan. NPI 1962291666 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · GRASS LAKE, MI
Registration Details
- NPI Number
- 1962291666
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2025 (1.3052128379954 yrs)
- Last Updated
- May 1, 2025
- License
-
380418074 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3775 WOLF LAKE RDGRASS LAKE, MI, 492409490Browse MI providers · Browse ZIP 49240
- Phone
- 5175225013
- Fax
- 5175225359
- Primary Specialty
-
Assisted Living Facility
310400000X
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.