Ssc Fenton Operating Company Llc

NPI 1124061353 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1124061353
Enumeration Date 06/14/2006
Last Updated 04/10/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KELLE C KELLE
Position SR DIRECTOR AR
Phone (810) 629-4105
Fax (810) 629-7538
Practice Location
111 TREALOUT DR
FENTON MI, 48430-1481, US
Phone (810) 629-4105
Fax (810) 629-7538
Business Location
5300 W SAM HOUSTON PKWY N
SUITE 100
HOUSTON TX, 77041-5161, US
Phone (832) 467-6000
Fax
Toxanomy
Taxonomy Code 314000000X
License State Michigan
License Number 254210
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According to our database, Ssc Fenton Operating Company Llc NPI is 1124061353, taxonomy code is 314000000X and license number is 254210, license state is located at Michigan. Ssc Fenton Operating Company Llc physically located at 111 Trealout Dr, Fenton MI, 48430-1481. NPI Number 1033115704 has the healthcare provider type.

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1124061353 NPI number is provided on an as is basis without warranty of any kind. 1124061353 is maintained by the National Plan & Provider Enumeration System. The contents of Ssc Fenton Operating Company Llc are for informational purposes only.