Fenton Healthcare Llc

NPI 1114974391 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1114974391
Enumeration Date 05/31/2006
Last Updated 01/15/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARRY D. LARRY
Position MANAGER
Phone (810) 629-4117
Fax (810) 629-0491
Practice Location
512 BEACH ST
FENTON MI, 48430-3122, US
Phone (810) 629-4117
Fax (810) 629-0491
Business Location
512 BEACH ST
FENTON MI, 48430-3122, US
Phone (810) 629-4117
Fax (810) 629-0491
Toxanomy
Taxonomy Code 314000000X
License State Michigan
License Number 254050
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According to our database, Fenton Healthcare Llc NPI is 1114974391, taxonomy code is 314000000X and license number is 254050, license state is located at Michigan. Fenton Healthcare Llc physically located at 512 Beach St, Fenton MI, 48430-3122. NPI Number 1033115704 has the healthcare provider type.

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1114974391 NPI number is provided on an as is basis without warranty of any kind. 1114974391 is maintained by the National Plan & Provider Enumeration System. The contents of Fenton Healthcare Llc are for informational purposes only.