Organization
MID-MICHIGAN EQUESTRIAN CENTER, INC.
Active
Other names
Charity Hill Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MARIE OCONNELL (CEO)
(231) 258-5437
Entity
Organization
Contact information
Practice address
5629 WAY RD NW, RAPID CITY, MI 49676-9546
(231) 258-5437
(231) 258-6770
Mailing address
5629 WAY RD NW, RAPID CITY, MI 49676-9546
(231) 258-5437
(231) 258-6770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
L1774963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
772-855
—
MI
Enumeration date
11/11/2011
Last updated
11/11/2011
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