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Organization
LITCHFIELD NURSING CENTRE, INC.
Active
Organization
LITCHFIELD NURSING CENTRE, INC.
Active
Other names
Litchfield Nursing Centre
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GEORGE BANDSTRA (PRESIDENT)
(231) 799-6870
Entity
Organization
Contact information
Practice address
527 MARSHALL ST, LITCHFIELD, MI 49252-9145
(517) 542-2323
(517) 542-3032
Mailing address
5000 HAKES DR, SUITE 600, NORTON SHORES, MI 49441-5574
(231) 799-6870
(231) 799-0250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30-4010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09774
BCBS PROVIDER CODE
MI
Enumeration date
07/12/2005
Last updated
11/16/2007
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