Organization
CHRISTIAN HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT VANDERLOON (EXECUTIVE DIRECTOR)
(989) 772-1261
Entity
Organization
Contact information
Practice address
209 E CHIPPEWA ST, MT PLEASANT, MI 48858-1609
(989) 772-1261
Mailing address
1132 CHEESMAN, SAINT LOUIS, MI 48880-9402
(989) 763-1016
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4703085412
MI
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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