| Organization Name: | SHARED CARE OF WEST BRANCH LLC |
| NPI Number: | 1275502387 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREG MCCARTHY (COO) |
| Mailing Address: | 559 Progress St Suite B West Branch |
| State: | MI US |
| Postal Code: | 486619399 |
| Phone Number: | 9893457813 |
| Fax Number: | 9893451575 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |