Organization
W.A. FOOTE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA WEAVER RD, MBA (MANAGER NUTRITION SERVICES)
(517) 788-5210
Entity
Organization
Contact information
Practice address
205 N EAST AVE, 7TH FLOOR ONE JACKSON SQUARE, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
205 N EAST AVE, 7TH FLOOR ONE JACKSON SQUARE, JACKSON, MI 49201-1753
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301556349
—
MI
Enumeration date
07/16/2010
Last updated
07/16/2010
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