# SANILAC COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SANILAC COUNTY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194722165
- **Legal business name:** SANILAC COUNTY
- **Authorized official:** MR. KIM K KLIDA (ADMINISTRATOR)
- **Authorized official phone:** (810) 648-3017

## Contact information

- **Practice address:** 137 N ELK ST, SANDUSKY, MI 48471-1129
- **Practice address phone:** (810) 648-3017
- **Practice address fax:** (810) 648-4912
- **Mailing address:** 137 N ELK ST, SANDUSKY, MI 48471-1129
- **Mailing address phone:** (810) 648-3017
- **Mailing address fax:** (810) 648-4912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 768510 | MI | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 01/25/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2085517 | — | MI |