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Organization
LAPEER COUNTY MEDICAL CARE FACILITY
Active
Organization
LAPEER COUNTY MEDICAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L. EASTON M.A., N.H.A. (ADMINISTRATOR)
(810) 664-8571
Entity
Organization
Contact information
Practice address
1455 SUNCREST DR, LAPEER, MI 48446-1151
(810) 664-8571
(810) 664-1677
Mailing address
1455 SUNCREST DR, LAPEER, MI 48446-1151
(810) 664-8571
(810) 664-1677
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
448510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001455
HEALTH PLUS PROVIDER NUMB
MI
01
—
09650
BC/BS PROVIDER NUMBER
MI
05
—
2085320
—
MI
Enumeration date
08/31/2005
Last updated
04/02/2009
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