Provider Demographics
NPI:1376082966
Name:CAMP ZIP LLC
Entity Type:Organization
Organization Name:CAMP ZIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:T
Authorized Official - Last Name:TOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-405-7041
Mailing Address - Street 1:5840 N CANTON CENTER RD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2684
Mailing Address - Country:US
Mailing Address - Phone:313-405-7041
Mailing Address - Fax:
Practice Address - Street 1:5840 N CANTON CENTER RD
Practice Address - Street 2:SUITE 290
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2684
Practice Address - Country:US
Practice Address - Phone:313-405-7041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care