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Contact Information

LINDA K COLE, PARENT
171 LAURI CIR
JACKSON, MI49203-6121
 Phone: 517-768-8959
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care, Intellectual and/or Developmental Disabilities

385HR2060X
Indicates primary specialty

NPI Profile & details for

NPI Number 1992033088
Entity Organization
Organization subpart 1 Not specified
Enumeration date 12/01/2009
Last updated 12/01/2009 - About 17 years ago
Identifiers
MI License # 385HR2060X
MI Medicaid 38708672
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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