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Contact Information

EQUINE ESCAPE
5880 BRIGHAM RD
GOODRICH, MI48438-9645
 Phone: 810-287-0519
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
 

Community/Behavioral Health

251S00000X
 

Point of Service

305S00000X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for EQUINE ESCAPE

NPI # 1710713649
LBN Legal business name EQUINE ESCAPE
Authorized official SUSAN MANSER - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2024
Last updated 09/26/2024 - 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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