1750718078 NPI number — WILDS RIVER REST

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750718078 NPI number — WILDS RIVER REST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILDS RIVER REST
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750718078
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/01/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12409 N RED BUD TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUCHANAN
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49107-9139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
269-695-6074
Provider Business Mailing Address Fax Number:
269-697-0474

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12409 N RED BUD TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUCHANAN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49107-9139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-695-6074
Provider Business Practice Location Address Fax Number:
269-697-0474
Provider Enumeration Date:
10/01/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILDS
Authorized Official First Name:
JANICE
Authorized Official Middle Name:
ELLEN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
269-695-6074

Provider Taxonomy Codes

  • Taxonomy code: 311Z00000X , with the licence number:  AM110064771 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 310400000X , with the licence number: AM110064771 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)