Provider Demographics
NPI:1437112489
Name:FRANCISCAN LIFE NETWORK INC
Entity Type:Organization
Organization Name:FRANCISCAN LIFE NETWORK INC
Other - Org Name:FRANCISCAN LIFE PROCESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NAGLE FSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-897-7842
Mailing Address - Street 1:11650 DOWNES ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49331-9489
Mailing Address - Country:US
Mailing Address - Phone:616-897-7842
Mailing Address - Fax:616-897-7054
Practice Address - Street 1:11650 DOWNES ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MI
Practice Address - Zip Code:49331-9489
Practice Address - Country:US
Practice Address - Phone:616-897-7842
Practice Address - Fax:616-897-7054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00960225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty