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Organization
ATRIUM MARSHALL LLC
Active
Organization
ATRIUM MARSHALL LLC
Active
Other names
Atrium Marshall Inc., Marshall Nursing and Rehabilitation Community
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LOCKHART (CHIEF ACCOUNTING OFFICER)
(614) 416-0600
Entity
Organization
Contact information
Practice address
575 N MADISON ST, MARSHALL, MI 49068-1148
(269) 781-4281
(269) 781-9290
Mailing address
575 N MADISON ST, MARSHALL, MI 49068-1148
(269) 781-4281
(269) 781-9290
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
13-4120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09850
BCBS PROVIDER CODE
MI
05
—
60 4553761
—
MI
Enumeration date
07/12/2005
Last updated
03/03/2025
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