MEDICARE: THE CONTINUUM OF CLIO, INC

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
1	314000000X	Skilled Nursing Facility	254030	MI
2	313M00000X	Nursing Facility/Intermediate Care Facility

Other Identifiers

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

General Provider Information

NPI Number	:	1922004548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CONTINUUM OF CLIO, INC

Provider Business Mailing Address
First Line	:	G13137 CLIO ROAD
Second Line	:	PO BOX 40
City	:	CLIO
State	:	MI
Zip	:	48420-0040
Country	:	US
Telephone Number	:	810-686-2600
Fax Number	:	810-686-8405

Provider Business Practice Location Address
First Line	:	G13137 CLIO ROAD
Second Line	:
City	:	CLIO
State	:	MI
Zip	:	48420-0040
Country	:	US
Telephone Number	:	810-686-2600
Fax Number	:	810-686-8405

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SUSAN LYNN TRUSSELL
Credential	:
Telephone Number	:	810-686-2600

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/10/2012

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Directions to “THE CONTINUUM OF CLIO, INC ” Practice Location

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