| NPI Details | |
|---|---|
| NPI | 1104177195 |
| Enumeration Date | 10/01/2012 |
| Last Updated | 12/01/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 4 years ago |
| Authorized Information | |
|---|---|
| Name | JENNIFER LYNN JENNIFER |
| Position | EXECUTIVE DIRECTOR |
| Phone | (989) 953-5320 |
| Fax | (989) 953-5329 |
| Practice Location | |
|---|---|
| 2940 HEALTH PKWY MT PLEASANT MI, 48858-9342, US |
|
| Phone | (989) 953-5320 |
| Fax | (989) 953-5329 |
| Business Location | |
|---|---|
| 2940 HEALTH PKWY MT PLEASANT MI, 48858-9342, US |
|
| Phone | (989) 953-5320 |
| Fax | (989) 953-5329 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QC1500X |
| License State | |
| License Number | |
| Remove 1104177195 NPI Number | |
According to our database, Isabella Citizens For Health, Inc. NPI is 1104177195, taxonomy code is 261QC1500X Isabella Citizens For Health, Inc. physically located at 2940 Health Pkwy, Mt Pleasant MI, 48858-9342. NPI Number 1033115704 has the healthcare provider type.
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1104177195 NPI number is provided on an as is basis without warranty of any kind. 1104177195 is maintained by the National Plan & Provider Enumeration System. The contents of Isabella Citizens For Health, Inc. are for informational purposes only.
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