| Healthy Horizons Llc | |
|
1200 N West Ave Ste 809 Jackson MI 49202-2196 | |
| (517) 300-7570 | |
| (517) 796-4561 |
| Full Name | Healthy Horizons Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1200 N West Ave Ste 809, Jackson, Michigan |
| Authorized Official Name and Position | Dawn Del Rio (OWNER) |
| Authorized Official Contact | 5173007570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Horizons Llc 1200 N West Ave Ste 809 Jackson MI 49202-2196 Ph: (517) 300-7570 | Healthy Horizons Llc 1200 N West Ave Ste 809 Jackson MI 49202-2196 Ph: (517) 300-7570 |
| NPI Number | 1417625435 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Medicare PECOS PAC ID | 2163820853 |
|---|---|
| Medicare Enrollment ID | O20211011001891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417625435 | NPI | - | NPPES |
| 6801079615 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Dawn Louise Del Rio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952356081 PECOS PAC ID: 7113998550 Enrollment ID: I20040802000312 |
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