Provider Demographics
NPI:1932571031
Name:HUNT, CARRIE (ADMINISTRATOR)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 RIVERSHORE DR
Mailing Address - Street 2:
Mailing Address - City:ELK RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49629-9753
Mailing Address - Country:US
Mailing Address - Phone:231-264-9507
Mailing Address - Fax:
Practice Address - Street 1:215 RIVERSHORE DR
Practice Address - Street 2:
Practice Address - City:ELK RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49629-9753
Practice Address - Country:US
Practice Address - Phone:231-264-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS050370581376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator