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Organization
MERCY MEMORIAL HEALTH SERVICES INC
Active
Organization
MERCY MEMORIAL HEALTH SERVICES INC
Active
Other names
Pine Ridge: A Rehabilitation & Nursing Center, Corewell Health Rehabilitation & Nursing Center - Pine Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW E COX (CFO)
(616) 391-1663
Entity
Organization
Contact information
Practice address
4368 CLEVELAND AVE, STEVENSVILLE, MI 49127-9595
(269) 983-6501
(269) 983-2237
Mailing address
PO BOX 410, SAINT JOSEPH, MI 49085-0410
(269) 983-6501
(269) 983-2237
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2783575
—
MI
Enumeration date
09/21/2005
Last updated
08/16/2023
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