Blue Water Nursing Center
NPI #1275511487 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1275511487
- Entity Type
- Organization
- Organization Name
- Blue Water Nursing Center
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5635 LAKESHORE RD
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-2817
- Phone
- (810) 385-7447
Authorized Official
- Name
- MR. LAWRENCE G PETROSKEY
- Title
- CFO
- Phone
- (313) 836-3499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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