# MIDMICHIGAN GLADWIN PINES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDMICHIGAN GLADWIN PINES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174865273
- **Legal business name:** MIDMICHIGAN GLADWIN PINES
- **Authorized official:** CHRISTINE CHESNY (PRESIDENT)
- **Authorized official phone:** (989) 633-1400

## Contact information

- **Practice address:** 449 QUARTER ST, GLADWIN, MI 48624-1918
- **Practice address phone:** (989) 426-3430
- **Mailing address:** 449 QUARTER ST, GLADWIN, MI 48624-1918
- **Mailing address phone:** (989) 426-3430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 199637360 | MI | Yes |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 07/26/2013
