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SANFORD WEST LLC NPI 1508449521


NPI Information

NPI: 1508449521
Provider Name: SANFORD WEST LLC

Doing Business As: SANFORD WEST BEHAVIORAL HEALTH SERVICES

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
15146 16TH AVE
MARNE, MI
ZIP 49435
Phone: (616) 288-6970
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SANFORD WEST LLC is a substance abuse rehabilitation facility in Marne, MI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SANFORD WEST LLC NPI is 1508449521. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford West Behavioral Health Services.

The provider's business location address is:

15146 16TH AVE
MARNE, MI
ZIP 49435-605
Phone: (616) 288-6970
Fax: (616) 279-3955

The provider's authorized official is Stephanie Robinson Talbert .
The authorized official title is Credentialing & Contracting Mgr and has the following contact phone number (616) 520-9074.

The enumeration date for this NPI number is 4/29/2021 and was last updated on 11/2/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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: 4/28/2024

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