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Organization
ROUBAL'S NURSING HOME, INC.
Active
Organization
ROUBAL'S NURSING HOME, INC.
Active
Other names
Roubal Care and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN T FRIEDMAN (SHAREHOLDER)
(847) 881-6025
Entity
Organization
Contact information
Practice address
N306 MAPLE ST, STEPHENSON, MI 49887-8910
(906) 753-4981
(906) 753-4680
Mailing address
N306 MAPLE ST, STEPHENSON, MI 49887-8910
(906) 753-4981
(906) 753-4680
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
554020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508658
—
MI
Enumeration date
09/13/2005
Last updated
05/08/2023
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