Medilodge of Bloomfield
NPI #1073573655 in Bloomfield Hills, Michigan
Provider Information
- NPI Number
- 1073573655
- Entity Type
- Organization
- Organization Name
- Medilodge of Bloomfield
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 50 W SQUARE LAKE RD
- City
- Bloomfield Hills
- State
- Michigan
- ZIP Code
- 48302-0461
- Phone
- (248) 338-0345
Authorized Official
- Name
- JAN KUEPPERS
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (586) 752-5008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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