Healthcare Provider Details

I. General information

NPI: 1184621658
Provider Name (Legal Business Name): DURAND CONVALESCENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8750 E. MONROE RD.
DURAND MI
48429-0197
US

IV. Provider business mailing address

8750 E. MONROE RD.
DURAND MI
48429-0197
US

V. Phone/Fax

Practice location:
  • Phone: 989-288-3166
  • Fax: 989-288-6622
Mailing address:
  • Phone: 989-288-3166
  • Fax: 989-288-6622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JAMES LARUE
Title or Position: ADMINISTRATOR
Credential: VICE PRESIDENT
Phone: 989-288-3166