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Contact Information

RELAXATION STATION
23701 RED ARROW HWY
MATTAWAN, MI49071-9701
 Phone: 269-668-7770
 Fax: 269-668-7770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, Federal

261QP0904X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for RELAXATION STATION

NPI # 1790096931
LBN Legal business name RELAXATION STATION
Authorized official TEDDY BRANDON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2010
Last updated 06/22/2010 - About 16 years ago
Identifiers
IN License # 31001489A
MI License # 5201001223
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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