| NPI | 1639851116 |
|---|---|
| Doing Business As | AURORA LONG TERM CARE - TRAVERSE CITY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROBERT STULL Owner 269-657-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |