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CANDACE MATHEWS NPI 1336463215


NPI Information

NPI: 1336463215
Provider Name: CANDACE MATHEWS
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
117 E ADDISON ST
JACKSON, MI
ZIP 49203
Phone: (517) 795-1752
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CANDACE MATHEWS is a respite care in Jackson, MI. CANDACE MATHEWS NPI is 1336463215. The provider is registered as an organization entity type.

The provider's business location address is:

117 E ADDISON ST
JACKSON, MI
ZIP 49203-301
Phone: (517) 795-1752

The provider's authorized official is Candace Renee Mathews .
The authorized official title is Parent and has the following contact phone number (517) 795-1752.

The enumeration date for this NPI number is 3/21/2010 and was last updated on 3/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385H00000XRespite Care385H00000XMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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