<Unavail>

LBN: Fenton Healthcare Llc
<Unavail> is an health care organization with primary practice located at 512 Beach St , Fenton MI 48430-3122. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Fenton Healthcare Llc can be contacted via phone (810) 629-4117, or through White, Larry D. via phone (810) 629-4117.

Contact Information

Primary practice address
512 Beach St Fenton MI 48430-3122
Phone: (810) 629-4117
Fax: (810) 629-0491
Website:
Map and Directions
Authorized official contact:
Name: White, Larry D.
Phone: (810) 629-4117

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 254050 Michigan

Profile Details

NPI number 1114974391
LBN Legal business name Fenton Healthcare Llc
DBA Doing business as <Unavail>
Authorized official White, Larry D.
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Sep 15th, 2026 - about last month

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114974391 NPPES
Michigan MEDICAID 4639937

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