Provider Demographics
NPI:1982082194
Name:EXCHANGE UR CARE
Entity Type:Organization
Organization Name:EXCHANGE UR CARE
Other - Org Name:BUSINESS EXCHANGE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LATRICIA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-272-3117
Mailing Address - Street 1:865 28TH ST SE STE 700
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-1313
Mailing Address - Country:US
Mailing Address - Phone:616-272-3117
Mailing Address - Fax:616-350-9889
Practice Address - Street 1:865 28TH ST SE STE 700
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-1313
Practice Address - Country:US
Practice Address - Phone:616-272-3117
Practice Address - Fax:616-350-9889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI152851251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health