Provider Demographics
NPI:1336479930
Name:BEST WAY PROVIDERS, INC.
Entity Type:Organization
Organization Name:BEST WAY PROVIDERS, INC.
Other - Org Name:BWP COMMUNITY LIVING FACILITY, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:KACMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-728-2208
Mailing Address - Street 1:17 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-3308
Mailing Address - Country:US
Mailing Address - Phone:231-728-2208
Mailing Address - Fax:231-728-0187
Practice Address - Street 1:205 THOMAS ST
Practice Address - Street 2:
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010-8195
Practice Address - Country:US
Practice Address - Phone:269-673-5448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS030010150320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities