Provider Demographics
NPI:1073349478
Name:OPEN ARMS RESIDENTIAL SERVICES
Entity type:Organization
Organization Name:OPEN ARMS RESIDENTIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPPINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-316-8287
Mailing Address - Street 1:PO BOX 3644
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48605-3644
Mailing Address - Country:US
Mailing Address - Phone:989-316-8287
Mailing Address - Fax:989-401-6988
Practice Address - Street 1:2800 COURT ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-3640
Practice Address - Country:US
Practice Address - Phone:989-316-8287
Practice Address - Fax:989-401-6988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion