Sanilac County

NPI #1194722165 in Sandusky, Michigan

Provider Information

NPI Number
1194722165
Entity Type
Organization
Organization Name
Sanilac County
Subpart
Yes (part of a larger organization)
Parent Organization
SANILAC COUNTY
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 5, 2005
Last Updated
Jan 25, 2018

Practice Location

Address
137 N ELK ST
ZIP Code
48471-1129
Phone
(810) 648-3017

Authorized Official

Name
MR. KIM K KLIDA
Title
ADMINISTRATOR
Phone
(810) 648-3017

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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