| NPI | 1942548946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WAYNE MACAULEY Owner 517-449-2452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MI 04411G) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-12-27 |