Fmg West City Park Drive Michigan LLC

NPI #1700284148 in Munising, Michigan

Provider Information

NPI Number
1700284148
Entity Type
Organization
Organization Name
Fmg West City Park Drive Michigan LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 17, 2014
Last Updated
Dec 23, 2014

Practice Location

Address
300 CITY PARK DR
ZIP Code
49862-1130
Phone
(906) 387-2273

Authorized Official

Name
DAVID KEATING
Title
AUTHORIZED OFFICIAL
Phone
(414) 908-8058

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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