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Organization

MICHIGAN CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HIRAM ZAYAS MASTER OF SCIENCE (SINGLE MEMBER)
(269) 449-8291
Entity
Organization

Contact information

Practice address
207 NORTH AVE, BATTLE CREEK, MI 49017-3430
(269) 964-8000
Mailing address
PO BOX 139, BATTLE CREEK, MI 49016-0139
(269) 964-8000

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
AS110307861
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS130292696
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AS110307861
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AS130292696
MI

Other

Enumeration date
06/16/2011
Last updated
06/16/2011
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