NPI | 1114902756 |
---|---|
Doing Business As | THREE RIVERS HEALTH FAMILY CARE THREE RIVERS |
Entity Type | Organization |
Authorized Contact | WILLIAM RUSSELL CEO/President 269-273-9601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MI 750020) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2013-05-09 |