Organization
ALLEGIANCE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA WEAVER RD (NUTRITION SUPERVISOR)
(517) 841-7878
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
205 N EAST AVE JACKSON, 205 N EAST AVE JACKSON, JACKSON, MI 49201
(517) 841-7878
(517) 817-7664
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
MI
Other
Enumeration date
07/16/2012
Last updated
07/21/2022
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