Organization
LAUREL HEALTH CARE COMPANY OF GALESBURG
Active
Other names
THE LAURELS OF GALESBURG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
1080 N 35TH ST, GALESBURG, MI 49053-9727
(616) 665-7043
(616) 665-4080
Mailing address
1080 N 35TH ST, GALESBURG, MI 49053-9727
(616) 665-7043
(616) 665-4080
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
394150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3319728
—
MI
01
—
7105582
UNITED HEALTH CARE ID #
MI
Enumeration date
10/16/2006
Last updated
10/05/2007
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