Provider Demographics
NPI:1417343237
Name:RALSTON ENTERPRISES, INC
Entity type:Organization
Organization Name:RALSTON ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RALSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-448-2778
Mailing Address - Street 1:814 S OTSEGO AVE STE C
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-2708
Mailing Address - Country:US
Mailing Address - Phone:989-448-2778
Mailing Address - Fax:989-448-8081
Practice Address - Street 1:814 S OTSEGO AVE STE C
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-2708
Practice Address - Country:US
Practice Address - Phone:989-448-2778
Practice Address - Fax:989-448-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care