ORCHARD LAKE INVESTMENTS ASSOCIATES, LLC
Skilled Nursing Facility
Ashley, Michigan
Provider NPI: 1194727388
Organization Information:Organization Name: ORCHARD LAKE INVESTMENTS ASSOCIATES, LLC
Practice Location:
103 WEST WALLACE ASHLEY, MI 48806 US
Tel: 989-847-2011 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:
103 WEST WALLACE ASHLEY, MI 48806 US
Tel: 989-847-2011 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MI | 29-4030 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS BLUE SHIELD MI | S9543 | MI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin