Healthcare Provider Details

I. General information

NPI: 1497183891
Provider Name (Legal Business Name): EATON COUNTY HEALTH AND REHABILITATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2013
Last Update Date: 10/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 BEECH ST
CHARLOTTE MI
48813-1016
US

IV. Provider business mailing address

530 BEECH ST
CHARLOTTE MI
48813-1016
US

V. Phone/Fax

Practice location:
  • Phone: 517-543-2940
  • Fax: 517-541-0670
Mailing address:
  • Phone: 517-543-2940
  • Fax: 517-541-0670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARTHA RICHARD
Title or Position: ADMINISTRATOR
Credential:
Phone: 517-543-2940