Provider Demographics
NPI:1699381699
Name:FORSTER WOODS ADULT DAY SERVICES
Entity Type:Organization
Organization Name:FORSTER WOODS ADULT DAY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PUTMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-349-3101
Mailing Address - Street 1:4656 MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48895-9317
Mailing Address - Country:US
Mailing Address - Phone:517-349-3101
Mailing Address - Fax:
Practice Address - Street 1:201 HILLSIDE CT
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-3237
Practice Address - Country:US
Practice Address - Phone:517-349-3101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251J00000XAgenciesNursing Care
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care