Organization
LAPEER COUNTY MEDICAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L. EASTON M.A., N.H.A. (ADMINISTRATOR)
(810) 664-8571
Entity
Organization
Contact information
Practice address
1455 SUNCREST DR, LAPEER, MI 48446-1151
(810) 664-8571
(810) 664-1677
Mailing address
1455 SUNCREST DR, LAPEER, MI 48446-1151
(810) 664-8571
(810) 664-1677
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
448510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001455
HEALTH PLUS PROVIDER NUMB
MI
01
—
09650
BC/BS PROVIDER NUMBER
MI
05
—
2085320
—
MI
Enumeration date
08/31/2005
Last updated
04/02/2009
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