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Organization
FAIR ACRES NURSING HOME, INC.
Active
Organization
FAIR ACRES NURSING HOME, INC.
Active
Other names
The Village Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY E. PRIES (ADMINISTRATOR)
(586) 784-5322
Entity
Organization
Contact information
Practice address
22600 W MAIN ST, ARMADA, MI 48005-3237
(586) 784-5322
(586) 784-8779
Mailing address
22600 W MAIN ST, ARMADA, MI 48005-3237
(586) 784-5322
(586) 784-8779
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
50-4060
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584263
—
MI
01
—
S9558
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
09/06/2006
Last updated
09/08/2008
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