MICHIGAN MASONIC HOME
Skilled Nursing Facility
Alma, Michigan
Provider NPI: 1376545533
Organization Information:Organization Name: MICHIGAN MASONIC HOME
Practice Location:
1200 WRIGHT AVE ALMA, MI 48801 US
Tel: 989-463-3141 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:
1200 WRIGHT AVE ALMA, MI 48801 US
Tel: 989-463-3141 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MI | 294040 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS OF MICHIGAN | 09597 | MI | 01 |
2080833 | MI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin