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Organization
FENTON HEALTHCARE LLC
Active
Organization
FENTON HEALTHCARE LLC
Active
Other names
Fenton HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D. WHITE (MANAGER)
(810) 629-4117
Entity
Organization
Contact information
Practice address
512 BEACH ST, FENTON, MI 48430-3122
(810) 629-4117
(810) 629-0491
Mailing address
512 BEACH ST, FENTON, MI 48430-3122
(810) 629-4117
(810) 629-0491
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
254050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4639937
—
MI
Enumeration date
05/31/2006
Last updated
09/15/2026
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