# MICHIGAN MASONIC HOME

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MICHIGAN MASONIC HOME
- **Other names:** Warwick Living Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598160137
- **Legal business name:** MICHIGAN MASONIC HOME
- **Authorized official:** MR. DON PRAY (CFO)
- **Authorized official phone:** (989) 466-3811

## Contact information

- **Practice address:** 842 W WARWICK DR, ALMA, MI 48801-1178
- **Practice address phone:** (989) 463-2200
- **Practice address fax:** (989) 463-2543
- **Mailing address:** 1200 WRIGHT AVE, ALMA, MI 48801-1133
- **Mailing address phone:** (989) 463-3141
- **Mailing address fax:** (989) 466-2796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | L458405 | MI | Yes |

## Other

- **Enumeration date:** 10/24/2014
- **Last updated:** 10/24/2014