# COUNTY OF BARRY

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

## Provider details

- **NPI number:** 1639171119
- **Authorized official:** REBECCA K DEHAAN (ADMINISTRATOR)
- **Authorized official phone:** (269) 945-2407

## Contact information

- **Practice address:** 2700 NASHVILLE RD, HASTINGS, MI 49058-8824
- **Practice address phone:** (269) 945-2407
- **Practice address fax:** (269) 945-5380
- **Mailing address:** 2700 NASHVILLE RD, HASTINGS, MI 49058-8824
- **Mailing address phone:** (269) 945-2407
- **Mailing address fax:** (269) 945-5380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 088510 | MI | Yes |

## Other

- **Enumeration date:** 08/14/2005
- **Last updated:** 04/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09642 | BLUE CROSS/BLUE SHIELD | MI |
| 05 | — | 2085099 | — | MI |
| 05 | — | 2151407 | — | MI |