| Jewel Hill Llc | |
|
11135 Burrows Rd Battle Creek MI 49014-8193 | |
| (269) 986-6372 | |
| Not Available |
| Full Name | Jewel Hill Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11135 Burrows Rd, Battle Creek, Michigan |
| Authorized Official Name and Position | Gladys Jewel Seedorf (CEO) |
| Authorized Official Contact | 2699866372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewel Hill Llc 11135 Burrows Rd Battle Creek MI 49014-8193 Ph: (269) 986-6372 | Jewel Hill Llc 11135 Burrows Rd Battle Creek MI 49014-8193 Ph: (269) 986-6372 |
| NPI Number | 1710671540 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 9638525876 |
|---|---|
| Medicare Enrollment ID | O20231025000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710671540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gladys Jewel Seedorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821502436 PECOS PAC ID: 0446519615 Enrollment ID: I20180116000131 |
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