LUTHERAN HOMES OF MICHIGAN, INC.
Skilled Nursing Facility
Livonia, Michigan
Provider NPI: 1932103678
Organization Information:Organization Name: LUTHERAN HOMES OF MICHIGAN, INC.
Practice Location:
28910 PLYMOUTH RD LIVONIA, MI 48150 US
Tel: 734-425-4814 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
28910 PLYMOUTH RD LIVONIA, MI 48150 US
Tel: 734-425-4814 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MI | 824200 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS INS. PROVIDER # | S 9505 | MI | 01 |
4076769 | MI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin