# LAPEER COUNTY MEDICAL CARE FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760475123
- **Authorized official:** MR. GARY L. EASTON M.A., N.H.A. (ADMINISTRATOR)
- **Authorized official phone:** (810) 664-8571

## Contact information

- **Practice address:** 1455 SUNCREST DR, LAPEER, MI 48446-1151
- **Practice address phone:** (810) 664-8571
- **Practice address fax:** (810) 664-1677
- **Mailing address:** 1455 SUNCREST DR, LAPEER, MI 48446-1151
- **Mailing address phone:** (810) 664-8571
- **Mailing address fax:** (810) 664-1677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 448510 | MI | Yes |

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 04/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001455 | HEALTH PLUS PROVIDER NUMB | MI |
| 01 | — | 09650 | BC/BS PROVIDER NUMBER | MI |
| 05 | — | 2085320 | — | MI |