Healthcare Provider Details

I. General information

NPI: 1932256856
Provider Name (Legal Business Name): BRANCH COUNTY TREASURER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 04/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 SANDERSON LN
COLDWATER MI
49036-2228
US

IV. Provider business mailing address

50 SANDERSON LN
COLDWATER MI
49036-2228
US

V. Phone/Fax

Practice location:
  • Phone: 517-279-9587
  • Fax: 517-279-8304
Mailing address:
  • Phone: 517-279-9587
  • Fax: 517-279-8304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number128511
License Number StateMI

VIII. Authorized Official

Name: MRS. JAYNE A SABAITIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 517-279-9587