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NPI Code Detail

MEDICARE: GENEVA MANAGEMENT

MEDICARE: GENEVA MANAGEMENT
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
1313M00000XNursing Facility/Intermediate Care Facility634012MI

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 : 1689672107
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENEVA MANAGEMENT
Provider Business Mailing Address
First Line : 3500 SOUTH BLVD W
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-3973
Country : US
Telephone Number : 248-852-7800
Fax Number : 248-852-6348
Provider Business Practice Location Address
First Line : 3500 SOUTH BLVD W
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-3973
Country : US
Telephone Number : 248-852-7800
Fax Number : 248-852-6348
Authorized Official
Title or Position : EXECUTIVE DIRECTOR/AMINISTRATOR
Name : MR. ALAN WINER
Credential : NHA
Telephone Number : 248-852-7800
Provider Enumeration Date : 07/08/2005
Last Update Date : 02/08/2008

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Directions to “GENEVA MANAGEMENT ” Practice Location

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