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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