# TUSCOLA COUNTY MEDICAL CARE FACILITY

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

## Provider details

- **NPI number:** 1215934534
- **Authorized official:** MRS. MARGOT D ROEDEL R.N., N.H.A. (ADMINISTRATOR)
- **Authorized official phone:** (989) 673-4117

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 798510 | MI | Yes |

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 12/14/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09653 | INSURANCE ID BCBSM | MI |
| 01 | — | 1222890001 | DMERC ID - ADMINISTAR | MI |
| 05 | — | 2085188 | — | MI |