# GANTON HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTRYSIDE RETIREMENT COMMUNITY, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043444250
- **Legal business name:** COUNTRYSIDE RETIREMENT COMMUNITY, INC.
- **Authorized official:** MR. JOHN GANTON (OWNER)
- **Authorized official phone:** (517) 787-4150

## Contact information

- **Practice address:** 3600 SPRING ARBOR RD, JACKSON, MI 49201-9301
- **Practice address phone:** (517) 990-6444
- **Practice address fax:** (517) 990-6447
- **Mailing address:** 2121 ROBINSON RD, JACKSON, MI 49203-3658
- **Mailing address phone:** (517) 787-4150
- **Mailing address fax:** (517) 787-4708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/04/2009
- **Last updated:** 06/16/2013