# HYLAND CONVALESCENT HOME

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

## Provider details

- **NPI number:** 1467511907
- **Authorized official:** CHRISTINE L REDDING (ADMINISTRATOR)
- **Authorized official phone:** (906) 774-9333

## Contact information

- **Practice address:** 601 E G ST, IRON MOUNTAIN, MI 49801-4061
- **Practice address phone:** (906) 774-9333
- **Mailing address:** 601 E G ST, IRON MOUNTAIN, MI 49801-4061
- **Mailing address phone:** (906) 774-9333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 22-404 | MI | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2080510 | — | MI |