MEDICARE: ALISON BAILEY YOUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion	900126108	MI

General Provider Information

NPI Number	:	1003778697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON BAILEY YOUNG

Provider Business Mailing Address
First Line	:	1514 ALICE AVE
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49024-1202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1514 ALICE AVE
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49024-1202
Country	:	US
Telephone Number	:	269-364-8744
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ ALISON BAILEY YOUNG ” Practice Location

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