Organization
CARE COMMUNITY LAWTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CAREY (PRESIDENT)
(269) 624-3365
Entity
Organization
Contact information
Practice address
99 WALKER ST, LAWTON, MI 49065-9703
(269) 624-3365
Mailing address
99 WALKER ST, LAWTON, MI 49065-9703
(269) 624-3365
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AH800342160
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AH800342160
ASSISTED LIVING
MI
Enumeration date
06/05/2015
Last updated
06/05/2015
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