Organization
THE LAURELS OF CARSON CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY D PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
620 N. SECOND STREET, CARSON CITY, MI 48811
(877) 528-7352
Mailing address
620 N. SECOND STREET, CARSON CITY, MI 48811
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
PENDING
MI
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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