Organization
CLEARWATER HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE GAYE BUTLER RN (OWNER)
2318666365901
Entity
Organization
Contact information
Practice address
4765 JUNIPER DR, KEWADIN, MI 49648-9162
(231) 636-5901
Mailing address
4765 JUNIPER DR, KEWADIN, MI 49648-9162
(231) 636-5901
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093814
—
MI
Enumeration date
06/04/2007
Last updated
08/15/2011
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