Mr. Tyler Mark Ly
Mr. Tyler Mark Ly is an Adult Care Home Facility in Rockford, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2017
Practice location Address checks out
5430 Polar Bear Ct NERockford, MI 49341-7517
Phone: (616) 260-8194
Fax: (616) 883-6531
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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 AF410343519 (MI) |
|---|
Record details
| NPI number | 1487182960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 5430 Polar Bear Ct Ne, Rockford, MI 49341-7517 |
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