# ODD FELLOW & REBEKAH HOME OF MICHIGAN

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

## Provider details

- **NPI number:** 1386742310
- **Authorized official:** MR. JEREMY HILER N.H.A. (NURSING HOME ADMINISTRATOR)
- **Authorized official phone:** (517) 787-5140

## Contact information

- **Practice address:** 2388 W MICHIGAN AVE, JACKSON, MI 49202-3919
- **Practice address phone:** (517) 787-5140
- **Practice address fax:** (517) 787-0722
- **Mailing address:** 2388 W MICHIGAN AVE, JACKSON, MI 49202-3919
- **Mailing address fax:** (517) 787-0722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 384200 | MI | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 08/22/2020