W. A. Foote Memorial Hospital, INC
Substance Abuse Rehabilitation Facility in Jackson, MI. Organization (NPI-2).
NPI number1750885703
StatusActive
Last updated in NPPESMar 28, 2018
Details
- NPI
- 1750885703
- Entity type
- Organization (NPI-2)
- Legal business name
- W. A. Foote Memorial Hospital, INC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2018
- Last updated
- Mar 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Henry Ford Allegiance Health (Doing Business As)
Practice location
2424 W Washington Ave Ste 200Jackson, MI 49203-1236
Phone 517-205-4001 · Fax 517-205-0126
Mailing address
Po Box 67000 Dept 272801Detroit, MI 48267-2728
Phone 517-205-7843 · Fax 517-205-7419
Authorized official
Kevin Leonard
Vp Finance
5172057843
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