Organization Name: | BENZIE LEELANAU DISTRICT HEALTH DEPT |
NPI Number: | 1639294838 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA PEACOCK (HEALTH OFFICER) |
Mailing Address: | 6051 Frankfort Hwy Suite 100 Benzonia |
State: | MI US |
Postal Code: | 49616 |
Phone Number: | 2318824409 |
Fax Number: | 2318822204 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |