# SON OF MAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SON OF MAN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174129209
- **Legal business name:** SON OF MAN
- **Authorized official:** MR. KARL CORNELIOUS COTTON (CONTACT PERSON)
- **Authorized official phone:** (269) 277-9142

## Contact information

- **Practice address:** 946 MONROE ST, BENTON HARBOR, MI 49022-4832
- **Practice address phone:** (269) 277-9142
- **Mailing address:** 946 MONROE ST, BENTON HARBOR, MI 49022-4832
- **Mailing address phone:** (269) 277-9142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2020
- **Last updated:** 12/04/2020