# LAKE ORION NURSING CENTER CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POH MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134125131
- **Legal business name:** POH MEDICAL CENTER
- **Authorized official:** MR. MATT LEGAULT (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (248) 338-5691

## Contact information

- **Practice address:** 585 E FLINT ST, LAKE ORION, MI 48362-3209
- **Practice address phone:** (248) 693-0505
- **Practice address fax:** (248) 693-6071
- **Mailing address:** 585 E FLINT ST, LAKE ORION, MI 48362-3209
- **Mailing address phone:** (248) 693-0505
- **Mailing address fax:** (248) 693-6071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 634024 | MI | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 05/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2616817 | — | MI |