Organization
EATON COUNTY HEALTH AND REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA RICHARD (ADMINISTRATOR)
(517) 543-2940
Entity
Organization
Contact information
Practice address
530 W BEECH ST, CHARLOTTE, MI 48813
(517) 543-2940
(517) 541-0670
Mailing address
530 W BEECH ST, CHARLOTTE, MI 48813
(517) 543-2940
(517) 541-0670
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09611
BCBS
MI
05
—
2085070
—
MI
01
—
7100035
PHP
MI
Enumeration date
07/25/2006
Last updated
12/19/2016
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