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NPI Code Detail

MEDICARE: CHERRYWOOD NURSING & LIVING CENTER

MEDICARE: CHERRYWOOD NURSING & LIVING 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 Facility50406MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109737OTHERMIBLUE CROSS & BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881695617
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHERRYWOOD NURSING & LIVING CENTER
Provider Business Mailing Address
First Line : 34643 KETSIN DR
Second Line :
City : STERLING HTS
State : MI
Zip : 48310-5235
Country : US
Telephone Number : 586-978-2280
Fax Number : 586-978-8407
Provider Business Practice Location Address
First Line : 34643 KETSIN DR
Second Line :
City : STERLING HTS
State : MI
Zip : 48310-5235
Country : US
Telephone Number : 586-978-2280
Fax Number : 586-978-8407
Authorized Official
Title or Position : CORPORATE CONTROLLER
Name : MRS. SHEILA REITERMAN
Credential : NHA
Telephone Number : 248-644-5522
Provider Enumeration Date : 08/02/2005
Last Update Date : 01/06/2016

Similar Medicare Providers

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Practice Location Address:
34643 KETSIN DR
STERLING HTS, MI
48310-5235
Practice Phone: 586-600-8009
Practice Fax:
1053815845 — BARBARA JEAN PERRY OTRL
Practice Location Address:
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STERLING HEIGHTS, MI
48310-5235
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1083119432 — ERICK RIGO PASAYLO
Practice Location Address:
34643 KETSIN DR
STERLING HEIGHTS, MI
48310-5235
Practice Phone: 586-978-2280
Practice Fax:
1104321355 — MARY BRAGANZA PHYSICAL THERAPIST
Practice Location Address:
34643 KETSIN DR
STERLING HEIGHTS, MI
48310-5235
Practice Phone: 586-978-2280
Practice Fax:
1326886680 — ASHLYN WATERS
Practice Location Address:
34643 KETSIN DR
STERLING HEIGHTS, MI
48310-5235
Practice Phone: 586-600-8009
Practice Fax:
1427865419 — MR. DONALD PATRICK PASCOE
Practice Location Address:
34643 KETSIN DR
STERLING HEIGHTS, MI
48310-5235
Practice Phone: 586-978-2280
Practice Fax:

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