Provider Demographics
NPI:1689956948
Name:EUNICE HAMILTON, NP
Entity Type:Organization
Organization Name:EUNICE HAMILTON, NP
Other - Org Name:BETTER LIVING HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:269-684-2837
Mailing Address - Street 1:1132 CARBERRY RD
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-5107
Mailing Address - Country:US
Mailing Address - Phone:269-684-2837
Mailing Address - Fax:
Practice Address - Street 1:1132 CARBERRY RD
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120-5107
Practice Address - Country:US
Practice Address - Phone:269-684-2837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704218867310400000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1659343622OtherMEDICARE PLUS BLUE PPO