Provider Demographics
NPI:1912507286
Name:MCAP DEWITT OPCO LLC
Entity Type:Organization
Organization Name:MCAP DEWITT OPCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-262-1792
Mailing Address - Street 1:1177 W SOLON RD
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-8655
Mailing Address - Country:US
Mailing Address - Phone:517-484-9680
Mailing Address - Fax:
Practice Address - Street 1:1177 W SOLON RD
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-8655
Practice Address - Country:US
Practice Address - Phone:517-484-9680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility