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Organization
MAGNUM HEALTH AND REHAB OF MONROE LLC
Active
Organization
MAGNUM HEALTH AND REHAB OF MONROE LLC
Active
Other names
Magnum Care of Monroe
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN STODDARD (ADMINISTRATOR)
(734) 242-4848
Entity
Organization
Contact information
Practice address
1215 N TELEGRAPH RD, MONROE, MI 48162-3368
(734) 242-4848
(734) 242-2007
Mailing address
1215 N TELEGRAPH RD, MONROE, MI 48162-3368
(734) 242-4848
(734) 242-2007
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-5232
MEDICARE
MI
Enumeration date
04/23/2010
Last updated
01/27/2015
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