# TROUSDALE FOUNDATION OF MICHIGAN, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marion Manor Nursing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528015625
- **Authorized official:** MR. THOMAS D JOHNSON (PRESIDENT)
- **Authorized official phone:** (423) 478-5953

## Contact information

- **Practice address:** 18591 QUARRY ST, RIVERVIEW, MI 48193-4522
- **Practice address phone:** (734) 282-2100
- **Practice address fax:** (734) 282-2136
- **Mailing address:** 485 CENTRAL AVE NE, CLEVELAND, TN 37311-5541
- **Mailing address phone:** (423) 478-5953
- **Mailing address fax:** (423) 479-0476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 824210 | MI | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020