# CLINTON AREA CARE CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hazel I Findlay Country Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063419489
- **Authorized official:** MS. ERICA HOLMAN LNHA (CEO, LNHA)
- **Authorized official phone:** (989) 224-8936

## Contact information

- **Practice address:** 1101 S SCOTT RD, SAINT JOHNS, MI 48879-8044
- **Practice address phone:** (989) 224-8936
- **Practice address fax:** (989) 227-8008
- **Mailing address:** 1101 S SCOTT RD, SAINT JOHNS, MI 48879-8044
- **Mailing address phone:** (989) 224-8936
- **Mailing address fax:** (989) 227-8008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 19-4040 | MI | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 09/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09585 | BLUE CROSS BLUE SHIELD | MI |
| 05 | — | 2154507 | — | MI |
| 01 | — | P80436 | BLUE CARE NETWORK NUMBER | MI |