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Organization

TUSCOLA COUNTY MEDICAL CARE FACILITY

Active
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Organization

TUSCOLA COUNTY MEDICAL CARE FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARGOT D ROEDEL R.N., N.H.A. (ADMINISTRATOR)
(989) 673-4117
Entity
Organization

Contact information

Practice address
1285 CLEAVER RD, CARO, MI 48723-9241
(989) 673-4117
(989) 673-6665
Mailing address
1285 CLEAVER RD, CARO, MI 48723-9241
(989) 673-4117
(989) 673-6665

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
798510
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09653
INSURANCE ID BCBSM
MI
01
—
1222890001
DMERC ID - ADMINISTAR
MI
05
—
2085188
—
MI
Enumeration date
07/01/2005
Last updated
12/14/2007
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