Healthcare Provider Details

I. General information

NPI: 1710101613
Provider Name (Legal Business Name): COUNTY OF MONROE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2353 S CUSTER RD
MONROE MI
48161-5047
US

IV. Provider business mailing address

2353 S CUSTER RD
MONROE MI
48161-5047
US

V. Phone/Fax

Practice location:
  • Phone: 734-240-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LAW
Title or Position: FINANCE ADMINISTRATOR
Credential:
Phone: 734-240-7810