Healthcare Provider Details

I. General information

NPI: 1427375948
Provider Name (Legal Business Name): MAGNUM HEALTH AND REHAB OF ALBION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W ERIE ST
ALBION MI
49224-1568
US

IV. Provider business mailing address

1000 W ERIE ST
ALBION MI
49224-1568
US

V. Phone/Fax

Practice location:
  • Phone: 517-629-5501
  • Fax: 517-629-5159
Mailing address:
  • Phone: 517-629-5501
  • Fax: 517-629-5159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AVI KLEIN
Title or Position: PRESIDENT
Credential:
Phone: 786-888-3310