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NPI Code Detail

MEDICARE: LENAWEE MEDICAL CARE FACILITY

MEDICARE: LENAWEE MEDICAL CARE FACILITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility468510MI

General Provider Information

NPI Number : 1861488108
Entity Type Code : Organization
Provider Name (Legal Business Name) : LENAWEE MEDICAL CARE FACILITY
Provider Business Mailing Address
First Line : 200 SAND CREEK HWY
Second Line :
City : ADRIAN
State : MI
Zip : 49221-1255
Country : US
Telephone Number : 517-263-6794
Fax Number : 517-263-4275
Provider Business Practice Location Address
First Line : 200 SAND CREEK HWY
Second Line :
City : ADRIAN
State : MI
Zip : 49221-1255
Country : US
Telephone Number : 517-263-6794
Fax Number : 517-263-4275
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. ERIN TUCKEY
Credential :
Telephone Number : 517-263-6794
Provider Enumeration Date : 09/22/2005
Last Update Date : 11/18/2024

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Directions to “LENAWEE MEDICAL CARE FACILITY ” Practice Location

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