| Humble Haven Homestead | |
|
17860 S Phillips Rd Three Oaks MI 49128-9513 | |
| (269) 605-6989 | |
| Not Available |
| Full Name | Humble Haven Homestead |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17860 S Phillips Rd, Three Oaks, Michigan |
| Authorized Official Name and Position | Sara Shotsberger (OWNER) |
| Authorized Official Contact | 2696056989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humble Haven Homestead 17860 S Phillips Rd Three Oaks MI 49128-9513 Ph: (269) 605-6989 | Humble Haven Homestead 17860 S Phillips Rd Three Oaks MI 49128-9513 Ph: (269) 605-6989 |
| NPI Number | 1457123911 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457123911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |