Organization
UNITED LIFESTYLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODIE FABER (DIRECTOR)
(800) 406-4551
Entity
Organization
Contact information
Practice address
407 S NELSON ST, GREENVILLE, MI 48838-2138
(800) 406-4551
Mailing address
407 S NELSON ST, GREENVILLE, MI 48838-2138
(800) 406-4551
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4352647
MEDICAID PROVIDER NUMBER
MI
Enumeration date
07/10/2007
Last updated
08/22/2020
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