Fmg North Street West Michigan LLC
NPI #1396143665 in Tawas City, Michigan
Provider Information
- NPI Number
- 1396143665
- Entity Type
- Organization
- Organization Name
- Fmg North Street West Michigan LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 18, 2014
- Last Updated
- Dec 23, 2014
Practice Location
- Address
- 400 NORTH ST W
- City
- Tawas City
- State
- Michigan
- ZIP Code
- 48763-9161
- Phone
- (989) 362-8645
Authorized Official
- Name
- DAVID KEATING
- Title
- AUTHORIZED OFFICIAL
- Phone
- (414) 908-8058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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