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NPI Code Detail

MEDICARE: UNITED LIFESTYLES

MEDICARE: UNITED LIFESTYLES
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
1251J00000XNursing Care Agency251J00000XMI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326123258
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED LIFESTYLES
Provider Business Mailing Address
First Line : 407 S NELSON ST
Second Line :
City : GREENVILLE
State : MI
Zip : 48838-2138
Country : US
Telephone Number : 800-406-4551
Fax Number :
Provider Business Practice Location Address
First Line : 407 S NELSON ST
Second Line :
City : GREENVILLE
State : MI
Zip : 48838-2138
Country : US
Telephone Number : 800-406-4551
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MS. JODIE FABER
Credential :
Telephone Number : 800-406-4551
Provider Enumeration Date : 10/26/2006
Last Update Date : 08/22/2020

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407 S NELSON ST
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48838-2138
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1194096214 — JULIE A MONTROY RD
Practice Location Address:
407 S NELSON ST
GREENVILLE, MI
48838-2138
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1255602371 — JENNIFER L PETERMAN RD
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407 S NELSON ST
GREENVILLE, MI
48838-2138
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1659643039 — SPECTRUM HEALTH UNITED
Practice Location Address:
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Directions to “UNITED LIFESTYLES ” Practice Location

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