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Organization
SOUTH LYON SENIOR CARE AND REHAB CENTER, LLC
Active
Organization
SOUTH LYON SENIOR CARE AND REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD SANGSTER (CFO)
(810) 534-0150
Entity
Organization
Contact information
Practice address
700 REYNOLD SWEET PKWY, SOUTH LYON, MI 48178-1816
(248) 437-2048
(248) 437-0837
Mailing address
10503 CITATION DR STE 100, BRIGHTON, MI 48116-6551
(810) 534-0150
(810) 534-0208
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
634270
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5505974
—
MI
01
—
S9637
BCBSM
MI
Enumeration date
10/31/2008
Last updated
05/05/2022
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