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Contact Information

RESTIVA CARE PROVIDERS LLC
40075 EATON STREET
APT. 203
CANTON, MI48187
 Phone: 810-588-1595
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for RESTIVA CARE PROVIDERS LLC

NPI Number 1902629439
LBN Legal business name RESTIVA CARE PROVIDERS LLC
Authorized official CHANNIE ODAMS - (ADMINISTRATOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2024
Last updated 11/13/2024 - More than a year ago
Identifiers n/a
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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