Healthcare Provider Details

I. General information

NPI: 1396289922
Provider Name (Legal Business Name): GIVING TREE FARM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2016
Last Update Date: 12/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15413 TURNER RD
LANSING MI
48906-1133
US

IV. Provider business mailing address

15413 TURNER RD
LANSING MI
48906-1133
US

V. Phone/Fax

Practice location:
  • Phone: 517-490-1396
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT BOWER
Title or Position: DIRECTOR
Credential:
Phone: 517-490-1396