NPI | 1669553574 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA ANN SCHOOK Administrator 269-789-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MI 4704175126) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |