Organization
ST JOHNS HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LYNN THOMPSON RN (GENERAL MANAGER)
(231) 845-7922
Entity
Organization
Contact information
Practice address
609 N WASHINGTON AVE, LUDINGTON, MI 49431-1503
(231) 845-7922
(231) 843-8491
Mailing address
609 N WASHINGTON AVE, LUDINGTON, MI 49431-1503
(231) 845-7922
(231) 843-8491
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154625029
—
MI
Enumeration date
03/06/2007
Last updated
04/28/2010
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