Doctor Name: | MRS. REBECCA ANN ELKINS |
NPI Number: | 1245507532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AFO080294826 |
Business Practice Address: | 6528 Lafountaine Dr Plainwell, MI - 490808233 |
Business Phone Number: | 2696644328 |
Business Fax Number: | |
Mailing Address: | 6528 Lafountaine Dr, PLAINWELL |
State: | MI |
Postal Code: | 490808233 |
Phone Number: | 2696644328 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | AFO080294826 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |