| NPI Details | |
|---|---|
| NPI | 1174673594 |
| Enumeration Date | 01/10/2007 |
| Last Updated | 11/16/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | RICHARD ANTHONY RICHARD |
| Position | OWNER |
| Phone | (517) 750-3822 |
| Fax | (517) 750-3325 |
| Practice Location | |
|---|---|
| 6531 W MICHIGAN AVE JACKSON MI, 49201-8997, US |
|
| Phone | (517) 750-3822 |
| Fax | (517) 750-3325 |
| Business Location | |
|---|---|
| 10503 CITATION DR STE 100 BRIGHTON MI, 48116-6551, US |
|
| Phone | (810) 534-0150 |
| Fax | (810) 534-0208 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332BN1400X |
| License State | Michigan |
| License Number | 384020 |
| Remove 1174673594 NPI Number | |
According to our database, Faith Haven Senior Care Centre, Llc NPI is 1174673594, taxonomy code is 332BN1400X and license number is 384020, license state is located at Michigan. Faith Haven Senior Care Centre, Llc physically located at 6531 W Michigan Ave, Jackson MI, 49201-8997. NPI Number 1033115704 has the healthcare provider type.
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1174673594 NPI number is provided on an as is basis without warranty of any kind. 1174673594 is maintained by the National Plan & Provider Enumeration System. The contents of Faith Haven Senior Care Centre, Llc are for informational purposes only.
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