Organization Name: | PLACES LLC |
NPI Number: | 1154694750 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNE BUECHE (ADMINISTRATOR) |
Mailing Address: | 910 E Lincoln Ave Ionia |
State: | MI US |
Postal Code: | 488461393 |
Phone Number: | 6165272370 |
Fax Number: | 6165273824 |
NPI Enumeration Date: | 02/14/2012 |
NPI Last Update Date: | 02/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 4704176032 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |