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Organization
CHARLEVOIX NURSING HOME CORPORATION
Active
Organization
CHARLEVOIX NURSING HOME CORPORATION
Active
Other names
Boulder Park Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BELLAMY (CFO)
(231) 487-4094
Entity
Organization
Contact information
Practice address
14676 W UPRIGHT ST, CHARLEVOIX, MI 49720-1201
(231) 547-1005
Mailing address
14676 W UPRIGHT ST, CHARLEVOIX, MI 49720-1201
(231) 547-1005
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
235526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2896882
—
MI
Enumeration date
09/15/2006
Last updated
08/28/2017
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