State of Michigan

NPI #1366912669 in Marquette, Michigan

Provider Information

NPI Number
1366912669
Entity Type
Organization
Organization Name
State of Michigan
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF MICHIGAN
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 29, 2018
Last Updated
Nov 29, 2018

Practice Location

Address
425 FISHER ST
ZIP Code
49855-4521
Phone
(906) 226-3576

Authorized Official

Name
MR. RYAN ENGLE
Title
ADMINISTRATOR
Phone
(906) 226-3576

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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