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General NPI Number Information
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NPI Number | 1740328236
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Entity Type | Organization
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Legal Business Name | FATHER MURRAY NURSING CENTER
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8444 ENGLEMAN
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City | CENTER LINE
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State | MI
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Zip | 48015-1567
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Country | US
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Telephone | 586-755-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 28000 DEQUINDRE RD
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City | WARREN
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State | MI
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Zip | 48092-2468
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Country | US
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Telephone | 586-753-0155
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Fax | 586-753-1276
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MICHAEL C. RICHARDS
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Credential |
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Telephone | 586-755-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 762318
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License Number State | MI
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