Provider Demographics
NPI:1912510942
Name:BIRCH TREE CARE AND CONSULTATION LLC
Entity Type:Organization
Organization Name:BIRCH TREE CARE AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:R
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-287-8340
Mailing Address - Street 1:PO BOX 598
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-0598
Mailing Address - Country:US
Mailing Address - Phone:810-287-8340
Mailing Address - Fax:810-639-7759
Practice Address - Street 1:7210 DODGE RD
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:MI
Practice Address - Zip Code:48457-9030
Practice Address - Country:US
Practice Address - Phone:810-287-8340
Practice Address - Fax:810-639-7759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health