Medilodge Of Richmond, Inc.

NPI 1174583769 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1174583769
Enumeration Date 03/27/2006
Last Updated 07/29/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KATHLEEN KATHLEEN
Position CHIEF EXECUTIVE OFFICER
Phone (586) 727-7562
Fax
Practice Location
34901 DIVISION RD
RICHMOND MI, 48062-1559, US
Phone (586) 727-7562
Fax
Business Location
64500 VAN DYKE RD
WASHINGTON MI, 48095-2583, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State Michigan
License Number 504160
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According to our database, Medilodge Of Richmond, Inc. NPI is 1174583769, taxonomy code is 314000000X and license number is 504160, license state is located at Michigan. Medilodge Of Richmond, Inc. physically located at 34901 Division Rd, Richmond MI, 48062-1559. NPI Number 1033115704 has the healthcare provider type.

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1174583769 NPI number is provided on an as is basis without warranty of any kind. 1174583769 is maintained by the National Plan & Provider Enumeration System. The contents of Medilodge Of Richmond, Inc. are for informational purposes only.