Provider Demographics
NPI:1679012454
Name:HOME, HEALTH & BODY
Entity Type:Organization
Organization Name:HOME, HEALTH & BODY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-294-7793
Mailing Address - Street 1:392 FIELDS RD
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48819-9792
Mailing Address - Country:US
Mailing Address - Phone:517-294-7793
Mailing Address - Fax:517-676-5488
Practice Address - Street 1:2030 HASLETT RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:MI
Practice Address - Zip Code:48895-9624
Practice Address - Country:US
Practice Address - Phone:517-294-7793
Practice Address - Fax:517-676-5488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty