Jackline Andrew
Jackline Andrew is an Adult Care Home Facility in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2025
Practice location Address checks out
716 Idaho AvePortage, MI 49024-1235
Phone: (616) 528-0138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence AS390418237 (MI) |
|---|
Record details
| NPI number | 1548155716 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2025 |
| Last updated in NPPES | June 10, 2025 |
| Certification date | June 10, 2025 |
| Mailing address | 716 Idaho Ave, Portage, MI 49024-1235 |
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