Healthcare Provider Details

I. General information

NPI: 1154374130
Provider Name (Legal Business Name): FIVE CS COMMUNICATION CARE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 CHARLEVOIX DR STE 250
GRAND LEDGE MI
48837-8188
US

IV. Provider business mailing address

5000 CHESHIRE PKWY N
PLYMOUTH MN
55446-4103
US

V. Phone/Fax

Practice location:
  • Phone: 517-627-3202
  • Fax: 517-627-3203
Mailing address:
  • Phone: 888-510-0766
  • Fax: 763-268-4017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MS. SARA L. SHOGREN HOLCOMB
Title or Position: OWNER
Credential:
Phone: 517-332-1691