Organization
NORTHERN HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN C AUSTIN RN (ADMINISTRATOR)
(231) 689-0096
Entity
Organization
Contact information
Practice address
230 N CHARLES ST, WHITE CLOUD, MI 49349-8600
(231) 689-0096
(231) 689-0044
Mailing address
230 N CHARLES ST, PO BOX 462, WHITE CLOUD, MI 49349-8600
(231) 689-0096
(231) 689-0044
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
385555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2942232
—
MI
01
—
OE096
BCBS
—
Enumeration date
02/03/2006
Last updated
08/22/2020
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