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Organization
LAUREL HEALTH CARE COMPANY OF WAYLAND
Active
Organization
LAUREL HEALTH CARE COMPANY OF WAYLAND
Active
Other names
THE LAURELS OF SANDY CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS KHAN (CFO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
425 E ELM ST, WAYLAND, MI 49348-1109
(616) 792-2249
(616) 792-6121
Mailing address
4000 TOWN CTR STE 2000, SOUTHFIELD, MI 48075-1415
(248) 386-0300
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
034030
MI
314000000X
Skilled Nursing Facility
Primary
034030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034030
NURSING HOME LICENSE #
MI
01
—
09945
BLUE CROSS BLUE SHIELD #
MI
05
—
3202091
—
MI
Enumeration date
05/23/2006
Last updated
09/10/2021
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