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Charlie Joseph Fawcett, SON
Home Health Agency in Burton, Michigan
NPI 1295440204

Charlie Joseph Fawcett is a Home Health Agency based in Grand Blanc, MI. Charlie Joseph Fawcett practices in Burton, MI and has the professional credentials of SON. The NPI Number for Charlie Joseph Fawcett is 1295440204 and holds a License No. (Michigan).

The current practice location address for Charlie Joseph Fawcett is 4150 Boysenberry Ln, Burton, MI and can be reached out via phone at 810-676-3220. You can also correspond with Charlie Joseph Fawcett through the mailing address at 11971 JUNIPER WAY APT 335, GRAND BLANC, MI - 48439-2142 (mailing address contact number: 810-676-3222).

Location: 4150 Boysenberry Ln, Burton, MI, 48439-2142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295440204
Provider Name
Charlie Joseph Fawcett
Credential
SON
Provider Entity Type
Individual
Gender
Male
Address
4150 Boysenberry Ln, Burton, MI, 48439-2142
Phone Number
810-676-3220
Fax Number
Provider Enumeration Date
01/16/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000000 01 MI VA
institution
Provider Business Practice Location Address Details
Address
4150 Boysenberry Ln
City
Burton
State
Michigan
Zip
48529-2242
Phone Number
810-676-3220
Fax Number
person
Provider Business Mailing Address Details
Address
4150 Boysenberry Ln
City
Burton
State
Michigan
Zip
48529-2242
Phone Number
810-676-3220
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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