# FENTON HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fenton HealthCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114974391
- **Authorized official:** LARRY D. WHITE (MANAGER)
- **Authorized official phone:** (810) 629-4117

## Contact information

- **Practice address:** 512 BEACH ST, FENTON, MI 48430-3122
- **Practice address phone:** (810) 629-4117
- **Practice address fax:** (810) 629-0491
- **Mailing address:** 512 BEACH ST, FENTON, MI 48430-3122
- **Mailing address phone:** (810) 629-4117
- **Mailing address fax:** (810) 629-0491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 254050 | MI | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 09/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4639937 | — | MI |