Provider Demographics
NPI:1376576744
Name:FAMILY CARE PLUS PHYSICAL THERAPY & WELLNESS, LLC
Entity Type:Organization
Organization Name:FAMILY CARE PLUS PHYSICAL THERAPY & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SACHIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:810-814-0607
Mailing Address - Street 1:5034 SPRING WELL LN
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-4236
Mailing Address - Country:US
Mailing Address - Phone:810-606-0005
Mailing Address - Fax:
Practice Address - Street 1:G2037 S CENTER RD
Practice Address - Street 2:SUITE A
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48519-1101
Practice Address - Country:US
Practice Address - Phone:810-814-0607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004958261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy