Stone Creek Manor in Clio - Attendant Care Provider
Stone Creek Manor - NPI 1699836346
Stone Creek Manor is a Attendant Care Provider in Clio, Michigan. Stone Creek Manor practices all healthcare services and medical treatments related to Attendant Care Provider. The NPI Number for Stone Creek Manor is 1699836346. The last update date is 2008-08-01.
Stone Creek Manor's current location address is 609 Stone Creek Pass, Clio, Michigan. You can contact this provider via phone number 8106872855 and fax number 8106872855. The mailing address for Stone Creek Manor is 609 Stone Creek Pass, Clio, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stone Creek Manor |
|---|---|
| Address | 609 Stone Creek Pass, Clio, Michigan |
| Phone Number | 8106872855 |
| Fax Number | 8106872855 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Thompson Marie Shawn |
| Telephone Number | 8106872855 |
NPI Number Detail
| NPI Number | 1699836346 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2008-08-01 |
Provider Mailing Address Detail
| Address | 609 Stone Creek Pass |
|---|---|
| City | Clio |
| State | Michigan (MI) |
| Post Code | 48420 |
| Phone Number | 8106872855 |
| Fax Number | 8106872855 |
Provider's Primary Taxonomy Detail
| Speciality | Attendant Care Provider |
|---|---|
| Taxonomy | 3747A0650X |
| Licence No | AF250248959 |
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Definition: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, |
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What is the Stone Creek Manor's 1699836346?
The Stone Creek Manor's NPI (National Provider Identifier) Number is 1699836346. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stone Creek Manor located?
The Stone Creek Manor is located at 609 Stone Creek Pass, Clio, MI 48420.
What is Stone Creek Manor's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stone Creek Manor is Attendant Care Provider, and the corresponding taxonomy classification code for this specialized field is 3747A0650X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699836346 to Stone Creek Manor?
The Stone Creek Manor received its 1699836346 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the Stone Creek Manor's information last updated?
The Stone Creek Manor's information was last updated on 2008-08-01.