# STATE OF MICHIGAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF MICHIGAN
- **Other names:** D.J. Jacobetti Home for Veterans
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366912669
- **Legal business name:** STATE OF MICHIGAN
- **Authorized official:** MR. RYAN ENGLE (ADMINISTRATOR)
- **Authorized official phone:** (906) 226-3576

## Contact information

- **Practice address:** 425 FISHER ST, MARQUETTE, MI 49855-4521
- **Practice address phone:** (906) 226-3576
- **Practice address fax:** (906) 226-2380
- **Mailing address:** 425 FISHER ST, MARQUETTE, MI 49855-4521
- **Mailing address phone:** (906) 226-3576
- **Mailing address fax:** (906) 226-2380

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2018
- **Last updated:** 11/29/2018