Provider Demographics
NPI:1730637331
Name:TURTLE DOVE HOLISTIC CARE AND WELLNESS
Entity Type:Organization
Organization Name:TURTLE DOVE HOLISTIC CARE AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:960-630-1050
Mailing Address - Street 1:120 S HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49068-1590
Mailing Address - Country:US
Mailing Address - Phone:269-781-6417
Mailing Address - Fax:
Practice Address - Street 1:120 S HAMILTON ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068-1590
Practice Address - Country:US
Practice Address - Phone:269-781-6417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service