Organization
LAUREL HEALTH CARE COMPANY OF HUDSONVILLE
Active
Other names
THE LAURELS OF HUDSONVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
3650 VAN BUREN ST, HUDSONVILLE, MI 49426-1036
(616) 669-1520
(616) 669-4640
Mailing address
3650 VAN BUREN ST, HUDSONVILLE, MI 49426-1036
(616) 669-1520
(616) 669-4640
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
704050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3478134
—
MI
01
—
704050
NH LICENSE #
MI
01
—
7105584
UNITED HEALTH CARE ID #
MI
Enumeration date
10/06/2006
Last updated
10/05/2007
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