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Medicl Facility ID: 12631381559773633355

Facility Business Name: SIXTY FOURTH STREET LLC ( BYRON CENTER, MI )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id12631381559773633355
Facility NameSIXTY FOURTH STREET LLC
Address Line2373 64TH ST SW
CityBYRON CENTER
StateMI
Zip49315
TypeHospital
NPI Number1164538286
Provider Id23C0001079