# FERGUSON CONVALESCENT HOME, INC.

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

## Provider details

- **NPI number:** 1588655849
- **Authorized official:** MRS. ANNA LEE FERGUSON (ADMINISTRATOR)
- **Authorized official phone:** (810) 664-6611

## Contact information

- **Practice address:** 239 S MAIN ST, LAPEER, MI 48446-2426
- **Practice address phone:** (810) 664-6611
- **Practice address fax:** (810) 664-8633
- **Mailing address:** 239 S MAIN ST, LAPEER, MI 48446-2426
- **Mailing address phone:** (810) 664-6611
- **Mailing address fax:** (810) 664-8633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 44-4010 | MI | Yes |
| 314000000X | Skilled Nursing Facility | 44-4010 | MI | — |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 09/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2153214 | — | MI |