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NPI Code Detail

MEDICARE: BRONSON NURSING AND REHABILITATION CENTER

MEDICARE: BRONSON NURSING AND REHABILITATION CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility80-4040MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508899238
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRONSON NURSING AND REHABILITATION CENTER
Provider Business Mailing Address
First Line : 23332 RED ARROW HWY
Second Line :
City : MATTAWAN
State : MI
Zip : 49071-9703
Country : US
Telephone Number : 269-283-5200
Fax Number : 269-283-5215
Provider Business Practice Location Address
First Line : 23332 RED ARROW HWY
Second Line :
City : MATTAWAN
State : MI
Zip : 49071-9703
Country : US
Telephone Number : 269-283-5200
Fax Number : 269-283-5215
Authorized Official
Title or Position : SVP, CFO
Name : REBECCA EAST
Credential :
Telephone Number : 269-341-6000
Provider Enumeration Date : 07/08/2006
Last Update Date : 11/27/2023

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Directions to “BRONSON NURSING AND REHABILITATION CENTER ” Practice Location

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