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General NPI Number Information
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NPI Number | 1861215113
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Entity Type | Organization
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Legal Business Name | WEXFORD SENIOR CARE CENTER, LLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 460 PEARL ST
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City | CADILLAC
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State | MI
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Zip | 49601-2620
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Country | US
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Telephone | 231-775-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 10503 CITATION DR
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City | BRIGHTON
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State | MI
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Zip | 48116-6549
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TODD SANGSTER
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Credential |
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Telephone | 810-534-0150
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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 |
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License Number State |
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