Provider Demographics
NPI:1962238634
Name:JULIAN VENTURES LLC
Entity type:Organization
Organization Name:JULIAN VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:FOURNIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-577-1137
Mailing Address - Street 1:3371 OLD KAWKAWLIN RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-1616
Mailing Address - Country:US
Mailing Address - Phone:810-577-1137
Mailing Address - Fax:
Practice Address - Street 1:888 W OLSON RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-9054
Practice Address - Country:US
Practice Address - Phone:989-423-1400
Practice Address - Fax:989-486-1620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home