# BISHOP NOA HOME FOR SENIOR CITIZENS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194711408
- **Authorized official:** MRS. ELSIE MAY STAFFORD (ADMINISTRATOR)
- **Authorized official phone:** (906) 786-5810

## Contact information

- **Practice address:** 2900 3RD AVE S, ESCANABA, MI 49829-1237
- **Practice address phone:** (906) 786-5810
- **Practice address fax:** (906) 786-5372
- **Mailing address:** 2900 3RD AVE S, ESCANABA, MI 49829-1237
- **Mailing address phone:** (906) 786-5810
- **Mailing address fax:** (906) 786-5372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 214010 | MI | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 01/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2080468 | — | MI |
