Nicole Bustillos
Nicole Bustillos is an In Home Supportive Care Agency in Fennville, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2727 Cedar StFennville, MI 49408-9661
Phone: (616) 655-6834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
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Record details
| NPI number | 1639802192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 2, 2022 |
| Last updated in NPPES | July 2, 2022 |
| Certification date | July 2, 2022 |
| Mailing address | Po Box 762, Fennville, MI 49408-0762 |