Son of Man
NPI #1174129209 in Benton Harbor, Michigan
Provider Information
- NPI Number
- 1174129209
- Entity Type
- Organization
- Organization Name
- Son of Man
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SON OF MAN
- Primary Specialty
- Home Health
- Enumeration Date
- Dec 4, 2020
- Last Updated
- Dec 4, 2020
Practice Location
- Address
- 946 MONROE ST
- City
- Benton Harbor
- State
- Michigan
- ZIP Code
- 49022-4832
- Phone
- (269) 277-9142
Authorized Official
- Name
- MR. KARL CORNELIOUS COTTON
- Title
- CONTACT PERSON
- Phone
- (269) 277-9142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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