Most Relevant Information
Provider Data
| NPI Number: | 1003512526 |
| Provider Name: | TENNILLE SLAVENS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/06/2023 |
| Last Updated: | 02/06/2023 |
Provider Practice Location
2900 LAKEVIEW AVE
SAINT JOSEPH
MI
490852379
Practice Location Phone/Fax
| Phone: | 2699327860 |
| Fax: |
Provider Mailing Location
2900 LAKEVIEW AVE
SAINT JOSEPH
MI
490852379
Provider Mailing Phone/Fax
| Phone: | 2699327860 |
| Fax: |