Austin Gresham Outlaw
Austin Gresham Outlaw is a Personal Care Attendant in Grand Rapids, Michigan. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4218 Burton St SEGrand Rapids, MI 49546-6121
Phone: (616) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1669130480 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 30, 2021 |
| Last updated in NPPES | November 30, 2021 |
| Certification date | November 30, 2021 |
| Mailing address | 735 E Shaw Ln, East Lansing, MI 48825-3802 |
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