Provider Demographics
NPI:1497490585
Name:WINTERWOOD ESTATES LLC
Entity Type:Organization
Organization Name:WINTERWOOD ESTATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSEE
Authorized Official - Phone:810-869-3556
Mailing Address - Street 1:8470 PARSHALLVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-9211
Mailing Address - Country:US
Mailing Address - Phone:810-869-3556
Mailing Address - Fax:810-632-6890
Practice Address - Street 1:8470 PARSHALLVILLE RD
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-9211
Practice Address - Country:US
Practice Address - Phone:810-869-3556
Practice Address - Fax:810-632-6890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home