Whalio Doctors

NPI 1326333428

Great Lakes Regional Care, INC

Organisation Mental Illness Community Based Residential Treatment Facility Battle Creek, MI

Practice location

Address
207 North Ave, Battle Creek, MI 49017-3430
Phone
(269) 964-8000
Mailing address
PO Box 139, Battle Creek, MI 49016-0139

Authorised official

Name
Hiram Zayas
Title
Ceo
Phone
(269) 449-8291

Registered specialties (4)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence AS130069760 (MI)
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X Licence AS130081006 (MI)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence AS130069760 (MI)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence AS130081006 (MI)

Registry record

NPI
1326333428
Entity type
Organization
NPI issued
16 Jun 2011
Record last updated
16 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.