Provider Demographics
NPI:1588816441
Name:MARGARET'S MEADOWS, LLC
Entity Type:Organization
Organization Name:MARGARET'S MEADOWS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:ASH
Authorized Official - Suffix:
Authorized Official - Credentials:PE
Authorized Official - Phone:989-644-3394
Mailing Address - Street 1:5257 S COLDWATER RD
Mailing Address - Street 2:
Mailing Address - City:REMUS
Mailing Address - State:MI
Mailing Address - Zip Code:49340-9628
Mailing Address - Country:US
Mailing Address - Phone:989-561-5009
Mailing Address - Fax:989-561-2705
Practice Address - Street 1:5257 S COLDWATER RD
Practice Address - Street 2:
Practice Address - City:REMUS
Practice Address - State:MI
Practice Address - Zip Code:49340-9628
Practice Address - Country:US
Practice Address - Phone:989-561-5009
Practice Address - Fax:989-561-2705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIA1370264709261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care