Organization
LAUREL HEALTH CARE COMPANY OF PERRINTON
Active
Other names
THE LAURELS OF FULTON
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
4735 RANGER RD, RFD #1, PERRINTON, MI 48871
(989) 236-5433
(989) 236-7672
Mailing address
4735 RANGER RD, RFD #1, PERRINTON, MI 48871
(989) 236-5433
(989) 236-7672
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
294010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294010
NH LICENSE #
MI
05
—
3202046
—
MI
01
—
7105581
UNITED HEALTH CARE ID #
MI
Enumeration date
10/13/2006
Last updated
10/05/2007
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