Provider Demographics
NPI:1427466101
Name:SALUTARY HOME SERVICES
Entity type:Organization
Organization Name:SALUTARY HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KIRBY
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:989-430-8061
Mailing Address - Street 1:290 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:MI
Mailing Address - Zip Code:48625-9056
Mailing Address - Country:US
Mailing Address - Phone:989-430-8061
Mailing Address - Fax:989-630-0276
Practice Address - Street 1:290 BIRCH ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:MI
Practice Address - Zip Code:48625-9056
Practice Address - Country:US
Practice Address - Phone:989-430-8061
Practice Address - Fax:989-630-0276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-26
Last Update Date:2014-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care