# MERCY MEMORIAL HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine Ridge: A Rehabilitation & Nursing Center, Corewell Health Rehabilitation & Nursing Center - Pine Ridge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003802596
- **Authorized official:** MATTHEW E COX (CFO)
- **Authorized official phone:** (616) 391-1663

## Contact information

- **Practice address:** 4368 CLEVELAND AVE, STEVENSVILLE, MI 49127-9595
- **Practice address phone:** (269) 983-6501
- **Practice address fax:** (269) 983-2237
- **Mailing address:** PO BOX 410, SAINT JOSEPH, MI 49085-0410
- **Mailing address phone:** (269) 983-6501
- **Mailing address fax:** (269) 983-2237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 114130 | MI | Yes |

## Other

- **Enumeration date:** 09/21/2005
- **Last updated:** 08/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2783575 | — | MI |