Most Relevant Information
Provider Data
| NPI Number: | 1003676255 |
| Provider Name: | LISA RILEY |
| Entity Type: | Individual |
| Taxonomy Code: | 253Z00000X |
| Specialty: | In Home Supportive Care |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2024 |
| Last Updated: | 03/21/2024 |
Provider Practice Location
10937 LANCE AVE
ALLENDALE
MI
494017315
Practice Location Phone/Fax
| Phone: | 6165169045 |
| Fax: |
Provider Mailing Location
10937 LANCE AVE
ALLENDALE
MI
494017315
Provider Mailing Phone/Fax
| Phone: | 6165169045 |
| Fax: |