Organization
CCR HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY SUE PAYNE (CEO)
(231) 773-8496
Entity
Organization
Contact information
Practice address
4460 CLOVERVILLE RD, FRUITPORT, MI 49415-9714
(231) 773-8496
Mailing address
4460 CLOVERVILLE RD, FRUITPORT, MI 49415-9714
(231) 773-8496
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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