Healthcare Provider Details
I. General information
NPI: 1518387695
Provider Name (Legal Business Name): HUMAN RESOURCES AUTHORITY INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/16/2014
Last Update Date: 03/01/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2635 1ST AVE S
ESCANABA MI
49829-1315
US
IV. Provider business mailing address
507 1ST AVE N
ESCANABA MI
49829-3931
US
V. Phone/Fax
- Phone: 906-786-7080
- Fax: 906-786-2001
- Phone: 906-786-7080
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CORINNE
ANN
CRAMER
Title or Position: ACCESS MANAGER
Credential:
Phone: 906-786-7080