Organization
CAMPBELLS PERSONAL CARE HOME #4, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH S. VAUBEL (OPERATIONS MANAGHER)
(810) 245-9400
Entity
Organization
Contact information
Practice address
1900 LAKEVILLE RD, LEONARD, MI 48367-3306
(248) 628-6348
Mailing address
PO BOX 821, LAPEER, MI 48446-0821
(810) 245-9400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL630015496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL630015496
STATE OF MICHIGAN DEPARTMENT OF HUMAN SERVICES
MI
Enumeration date
01/06/2010
Last updated
01/06/2010
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