Organization
STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Active
Organization
STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Active
Other names
Caro Psychiatric Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY WIEFERICH (SENIOR EXECUTIVE)
(517) 335-0499
Entity
Organization
Contact information
Practice address
2040 CHAMBERS RD, CARO, MI 48723
(989) 672-9261
(989) 673-6749
Mailing address
PO BOX 30437, LANSING, MI 48909-7937
(517) 241-5544
(517) 335-6995
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
5301000559
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1758845
—
MI
01
—
2040745
PK
—
Enumeration date
06/13/2006
Last updated
02/28/2024
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