# MILL CREEK MEMORY CARE COMMUNITY

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

## Provider details

- **NPI number:** 1326328121
- **Authorized official:** MARY MAHANEY RN. (ADMINISTRATOR)
- **Authorized official phone:** (906) 225-5512

## Contact information

- **Practice address:** 1600 MILL CREEK CT, MARQUETTE, MI 49855-8877
- **Practice address phone:** (906) 225-5512
- **Practice address fax:** (906) 225-0988
- **Mailing address:** 1600 MILL CREEK CT, MARQUETTE, MI 49855-8877
- **Mailing address phone:** (906) 225-5512
- **Mailing address fax:** (906) 225-0988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | AH520306235 | MI | Yes |

## Other

- **Enumeration date:** 08/24/2011
- **Last updated:** 08/24/2011