Provider Demographics
NPI:1437600145
Name:WILLIAMSTON COMPASSIONATE CARE
Entity Type:Organization
Organization Name:WILLIAMSTON COMPASSIONATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARNS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:517-204-2480
Mailing Address - Street 1:1272 SCOTT DR
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-5214
Mailing Address - Country:US
Mailing Address - Phone:517-204-2480
Mailing Address - Fax:866-357-5291
Practice Address - Street 1:3800 VANNETER RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:MI
Practice Address - Zip Code:48895-1077
Practice Address - Country:US
Practice Address - Phone:517-204-2480
Practice Address - Fax:866-357-5291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAM330380484310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility