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NPI Code Detail

MEDICARE: PLAY.BUILD.GROW. PLC

MEDICARE: PLAY.BUILD.GROW. PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency6801082557MI

General Provider Information

NPI Number : 1194039453
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLAY.BUILD.GROW. PLC
Provider Business Mailing Address
First Line : 1422 W SAGINAW ST
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-2434
Country : US
Telephone Number : 517-268-8052
Fax Number :
Provider Business Practice Location Address
First Line : 1422 W SAGINAW ST
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-2434
Country : US
Telephone Number : 517-268-8052
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. ELIZABETH SAWYER DANOWSKI
Credential :
Telephone Number : 517-268-8052
Provider Enumeration Date : 07/28/2010
Last Update Date : 12/10/2018

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