OrganizationActive
Healthcare Coordinates LLC
NPI 1477985240 · Case Management Registered Nurse · Interlochen, MI
Provider details
- NPI number
- 1477985240
- Entity type
- Organization
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Mary Randall, Ceo(231) 590-8624
- License
- 4704107861 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
11461 Fredmar Dr
Interlochen, MI 49643-9523
Phone: (231) 590-8624
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 466
Traverse City, MI 49685-0466
Registry dates
- Enumerated
- 2013-08-05
- Last updated
- 2013-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.