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Contact Information

CANNALUV
2147 S ASTOR RD
BALDWIN, MI49304-9354
 Phone: 702-900-0532
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
Indicates primary specialty

NPI Profile & details for CANNALUV

NPI # 1326827619
LBN Legal business name CANNALUV
Authorized official TAWANA BROWN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2023
Last updated 09/26/2023 - About 3 years ago
Identifiers
NV Medicaid 1235849654
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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