Organization
CARE & COMFORT STATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAYNETTE GOUDY NURSE PRACTITIONER (ADMINISTRATOR/WOUND SPECIALIST)
(586) 777-0593
Entity
Organization
Contact information
Practice address
22777 HARPER AVE, SUITE 103 A, SAINT CLAIR SHORES, MI 48080-1868
(586) 777-0593
(586) 779-3282
Mailing address
22777 HARPER AVE, SUITE 103 A, SAINT CLAIR SHORES, MI 48080-1868
(586) 777-0593
(586) 779-3282
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4704114991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841282753
NPI
MI
Enumeration date
07/23/2008
Last updated
11/06/2008
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