Provider Demographics
NPI:1073786133
Name:THREE AND ONE, LLC
Entity Type:Organization
Organization Name:THREE AND ONE, LLC
Other - Org Name:RIGHT AT HOME OF KALAMAZOO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:269-762-6110
Mailing Address - Street 1:2960 BUSINESS ONE DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-8719
Mailing Address - Country:US
Mailing Address - Phone:269-762-6110
Mailing Address - Fax:269-762-6109
Practice Address - Street 1:2960 BUSINESS ONE DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-8719
Practice Address - Country:US
Practice Address - Phone:269-762-6110
Practice Address - Fax:269-762-6109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health