Mengistu, Tenagne
Mengistu, Tenagne is an sole proprietor health care provider with primary practice located at 604 Jefferson Ave Se , Grand Rapids MI 49503-5218. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Mengistu, Tenagne can be contacted via phone (616) 589-4609.Contact Information
Primary practice address
604 Jefferson Ave Se
Grand Rapids MI 49503-5218
Phone: (616) 589-4609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | AF410315360 | Michigan |
Profile Details
| NPI number | 1801324538 |
|---|---|
| LBN Legal business name | Mengistu, Tenagne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2017 |
| Last updated | May 25th, 2017 - about 9 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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