Organization
GANTON HOME CARE, LLC
Active
Parent organization
COUNTRYSIDE RETIREMENT COMMUNITY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTRYSIDE RETIREMENT COMMUNITY, INC.
Authorized official
MR. JOHN GANTON (OWNER)
(517) 787-4150
Entity
Organization
Contact information
Practice address
3600 SPRING ARBOR RD, JACKSON, MI 49201-9301
(517) 990-6444
(517) 990-6447
Mailing address
2121 ROBINSON RD, JACKSON, MI 49203-3658
(517) 787-4150
(517) 787-4708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/04/2009
Last updated
06/16/2013
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