Petoskey Geriatric Village, Inc

NPI 1023195468 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1023195468
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DONALD JAMES DONALD
Position PRESIDENT
Phone (231) 347-5500
Fax (231) 347-3504
Practice Location
1500 SPRING ST
PETOSKEY MI, 49770-9295, US
Phone (231) 347-5500
Fax (231) 347-3504
Business Location
11700 E 10 MILE RD
WARREN MI, 48089-3903, US
Phone (586) 759-5966
Fax (586) 759-8006
Toxanomy
Taxonomy Code 314000000X
License State Michigan
License Number 244010
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According to our database, Petoskey Geriatric Village, Inc NPI is 1023195468, taxonomy code is 314000000X and license number is 244010, license state is located at Michigan. Petoskey Geriatric Village, Inc physically located at 1500 Spring St, Petoskey MI, 49770-9295. NPI Number 1033115704 has the healthcare provider type.

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1023195468 NPI number is provided on an as is basis without warranty of any kind. 1023195468 is maintained by the National Plan & Provider Enumeration System. The contents of Petoskey Geriatric Village, Inc are for informational purposes only.