# IHS ACQUISITION NO 114 INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lynwood Manor Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306823919
- **Authorized official:** MR. BRIAN REYNOLDS (CEO)
- **Authorized official phone:** (410) 513-8738

## Contact information

- **Practice address:** 730 KIMOLE LANE, ADRIAN, MI 49221-1463
- **Practice address phone:** (517) 263-6771
- **Practice address fax:** (517) 265-8599
- **Mailing address:** 730 KIMOLE LANE, ADRIAN, MI 49221-1463
- **Mailing address phone:** (517) 263-6771
- **Mailing address fax:** (517) 265-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | SNFLTC464050 | MI | Yes |

## Other

- **Enumeration date:** 12/23/2005
- **Last updated:** 07/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 604163621 | — | MI |