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NPI Code Detail

MEDICARE: FRANCISCAN LIFE NETWORK INC

MEDICARE: FRANCISCAN LIFE NETWORK INC
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
1225A00000XMusic Therapist00960

General Provider Information

NPI Number : 1437112489
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANCISCAN LIFE NETWORK INC
Provider Business Mailing Address
First Line : 11650 DOWNES ST
Second Line :
City : LOWELL
State : MI
Zip : 49331-9489
Country : US
Telephone Number : 616-897-7842
Fax Number : 616-897-7054
Provider Business Practice Location Address
First Line : 11650 DOWNES ST
Second Line :
City : LOWELL
State : MI
Zip : 49331-9489
Country : US
Telephone Number : 616-897-7842
Fax Number : 616-897-7054
Authorized Official
Title or Position : DIRECTOR
Name : COLLEEN ANN NAGLE FSE
Credential :
Telephone Number : 616-897-7842
Provider Enumeration Date : 04/10/2006
Last Update Date : 08/22/2020

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Directions to “FRANCISCAN LIFE NETWORK INC ” Practice Location

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