# MACOMB COUNTY HUMAN SERVICES BOARD-AN AGENCY OF MACOMB COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Martha T. Berry MCF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629056486
- **Authorized official:** JENNIFER MORGAN (ADMINISTRATOR)
- **Authorized official phone:** (586) 469-5623

## Contact information

- **Practice address:** 43533 ELIZABETH ST, MOUNT CLEMENS, MI 48043-1034
- **Practice address phone:** (586) 469-5265
- **Practice address fax:** (586) 466-7418
- **Mailing address:** 43533 ELIZABETH ST, MOUNT CLEMENS, MI 48043-1034
- **Mailing address phone:** (586) 469-5265
- **Mailing address fax:** (586) 466-7418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 508510 | MI | Yes |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 02/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2085301 | — | MI |