Provider Demographics
NPI:1508033549
Name:PARTNERS IN LIFE
Entity Type:Organization
Organization Name:PARTNERS IN LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORNOW
Authorized Official - Suffix:
Authorized Official - Credentials:PROVIDER
Authorized Official - Phone:810-923-0200
Mailing Address - Street 1:576 BAKER STREET
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357
Mailing Address - Country:US
Mailing Address - Phone:810-923-0200
Mailing Address - Fax:615-302-3262
Practice Address - Street 1:576 BAKER STREET
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357
Practice Address - Country:US
Practice Address - Phone:810-923-0200
Practice Address - Fax:615-302-3262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI28-FY07251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health