| Relaxation Station | |
|
23701 Red Arrow Hwy Mattawan MI 49071-9701 | |
| (269) 668-7770 | |
| (269) 668-7770 |
| Full Name | Relaxation Station |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 23701 Red Arrow Hwy, Mattawan, Michigan |
| Authorized Official Name and Position | Teddy B Brandon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2696687770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Relaxation Station 23701 Red Arrow Hwy Mattawan MI 49071-9701 Ph: (269) 668-7770 | Relaxation Station 23701 Red Arrow Hwy Mattawan MI 49071-9701 Ph: (269) 668-7770 |
| NPI Number | 1790096931 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790096931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 5201001223 (Michigan) | Secondary |
| 261QP0904X | Clinic/center - Public Health, Federal | 31001489A (Indiana) | Primary |
Bronson Lakeview Family Care-mattawan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52375 N Main St, Mattawan, MI 49071 Phone: 269-668-3348 Fax: 269-668-7702 |