Provider Demographics
NPI:1114466760
Name:DIRECT CARE, INC.
Entity Type:Organization
Organization Name:DIRECT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-590-7004
Mailing Address - Street 1:17131 TWIN SCHOOL HWY
Mailing Address - Street 2:
Mailing Address - City:ONAWAY
Mailing Address - State:MI
Mailing Address - Zip Code:49765-8887
Mailing Address - Country:US
Mailing Address - Phone:989-590-7004
Mailing Address - Fax:989-733-2184
Practice Address - Street 1:17131 TWIN SCHOOL HWY
Practice Address - Street 2:
Practice Address - City:ONAWAY
Practice Address - State:MI
Practice Address - Zip Code:49765-8887
Practice Address - Country:US
Practice Address - Phone:989-590-7004
Practice Address - Fax:989-733-2184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health