Mcmillian, Raekesha Lachelle

Mcmillian, Raekesha Lachelle is an sole proprietor health care provider with primary practice located at 820 Watkins St Se , Grand Rapids MI 49507-1345. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, which is considered as her primary health care specialty. Mcmillian, Raekesha Lachelle can be contacted via phone (616) 427-4570.

Contact Information

Primary practice address
820 Watkins St Se Grand Rapids MI 49507-1345
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X AS410388538 Michigan

Profile Details

NPI number 1053837922
LBN Legal business name Mcmillian, Raekesha Lachelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2017
Last updated Aug 22nd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053837922 NPPES
Michigan MEDICAID W314730488684

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