NPI | 1629505714 |
---|---|
Other Name | HACKLEY COMMUNITY CARE CENTER INC |
Entity Type | Organization |
Authorized Contact | ANTOINETTE HILDWEIN Cmo 231-737-1335 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-05-19 |
Last Update Date | 2022-07-21 |