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Organization
MICHIGAN MASONIC HOME
Active
Organization
MICHIGAN MASONIC HOME
Active
Other names
Masonic Pathways
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MAPES PRESIDENT, HOME BOAR (PRESIDENT)
(989) 463-4285
Entity
Organization
Contact information
Practice address
1200 WRIGHT AVE, ALMA, MI 48801-1133
(989) 463-3141
(989) 466-2796
Mailing address
1200 WRIGHT AVE, ALMA, MI 48801-1133
(989) 463-3141
(989) 466-2796
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
294040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09597
BCBS OF MICHIGAN
MI
05
—
2080833
—
MI
Enumeration date
06/01/2005
Last updated
12/29/2014
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