# EVANGELICAL HOMES OF MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evangelical Home - Sterling Heights
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639157993
- **Authorized official:** MR. LAWRENCE G PETROSKEY (CFO)
- **Authorized official phone:** (313) 836-3499

## Contact information

- **Practice address:** 14900 SHORELINE DR, STERLING HEIGHTS, MI 48313-2251
- **Practice address phone:** (586) 247-4700
- **Practice address fax:** (586) 247-1499
- **Mailing address:** 14900 SHORELINE DR, STERLING HEIGHTS, MI 48313-2251
- **Mailing address phone:** (586) 247-4700
- **Mailing address fax:** (586) 247-1499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 504015 | MI | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 08/22/2020