Healthcare Provider Details

I. General information

NPI: 1861215113
Provider Name (Legal Business Name): WEXFORD SENIOR CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 PEARL ST
CADILLAC MI
49601-2620
US

IV. Provider business mailing address

10503 CITATION DR
BRIGHTON MI
48116-6549
US

V. Phone/Fax

Practice location:
  • Phone: 231-775-0101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: TODD SANGSTER
Title or Position: CFO
Credential:
Phone: 810-534-0150