Healthcare Provider Details

I. General information

NPI: 1356748875
Provider Name (Legal Business Name): ULYSES DEWEY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2014
Last Update Date: 03/18/2024
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10159 E RIVERSHORE DR SE
ALTO MI
49302-9683
US

IV. Provider business mailing address

10159 E RIVERSHORE DR SE
ALTO MI
49302-9683
US

V. Phone/Fax

Practice location:
  • Phone: 616-891-7214
  • Fax:
Mailing address:
  • Phone: 616-891-7214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: GERALD BRIAN SCHUMAKER
Title or Position: PRESIDENT
Credential:
Phone: 616-891-7214