# MIDMICHIGAN STRATFORD VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDMICHIGAN HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487767026
- **Legal business name:** MIDMICHIGAN HEALTH
- **Authorized official:** JAN WRZESINSKI (PATIENT ACCOUNTING MANAGER)
- **Authorized official phone:** (989) 633-1486

## Contact information

- **Practice address:** 2121 ROCKWELL DRIVE, MIDLAND, MI 48642-9316
- **Practice address phone:** (989) 633-5350
- **Mailing address:** 2121 ROCKWELL DRIVE, MIDLAND, MI 48642-9316
- **Mailing address phone:** (989) 633-5350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1070000265 | MI | Yes |
| 314000000X | Skilled Nursing Facility | 564011 | MI | — |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 08/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09693 | BCBSM | MI |
| 05 | — | 1766453 | — | MI |