| Organization Name: | LAUREL HEALTH CARE COMPANY OF HUDSONVILLE |
| NPI Number: | 1184711434 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY PATTON (CFO) |
| Mailing Address: | 3650 Van Buren St Hudsonville |
| State: | MI US |
| Postal Code: | 494261036 |
| Phone Number: | 6166691520 |
| Fax Number: | 6166694640 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 10/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 704050 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |