CANDACE MATHEWS
NPI 1336463215
Respite Care in Jackson, MI
Active since March 21, 2010
About Candace Mathews NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDACE MATHEWS (NPI 1336463215) is a healthcare organization registered as a respite care in Jackson, Michigan and active in the NPI registry since March 2010. The organization lists Candace Renee Mathews, Parent, as its authorized official.
NPPES Registry Identity
NPI1336463215
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameCANDACE MATHEWS
Location Address117 E ADDISON STJackson, MI 49203-4301
Mailing Address117 E Addison StJackson, MI 49203-4301
Phone(517) 795-1752
Organization SubpartNo
Authorized OfficialCandace Renee MathewsParent · (517) 795-1752
Enumeration DateMarch 21, 2010
✔ NPI 1336463215 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
License✔ Licensed in MI · 385H00000X
117 E ADDISON ST, Jackson, MI 49203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336463215, enumerated as an "organization" on March 21, 2010.
The provider is located at 117 E ADDISON ST JACKSON, MI 49203 and the phone number is (517) 795-1752.
Respite Care with taxonomy code 385H00000X.