Healthcare Provider Details

I. General information

NPI: 1417203530
Provider Name (Legal Business Name): BURCHAM HILLS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2012
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 BURCHAM DR
EAST LANSING MI
48823-3898
US

IV. Provider business mailing address

2700 BURCHAM DRIVE
EAST LANSING MI
48823-3899
US

V. Phone/Fax

Practice location:
  • Phone: 517-351-8377
  • Fax: 517-827-1080
Mailing address:
  • Phone: 517-827-0368
  • Fax: 517-827-1080

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: MR. JAMES SAVAGE
Title or Position: PRESIDENT
Credential:
Phone: 517-575-8224