# OUR LADY OF MERCY CONVALESCENT HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greentree of Hubbell Rehab & Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710972344
- **Authorized official:** BENJAMIN T. FRIEDMAN (PRESIDENT)
- **Authorized official phone:** (773) 810-9450

## Contact information

- **Practice address:** 52225 B AVE, HUBBELL, MI 49934-9719
- **Practice address phone:** (906) 296-3301
- **Practice address fax:** (906) 296-0779
- **Mailing address:** 52225 B AVE., P.O. BOX 369, HUBBELL, MI 49934-0369
- **Mailing address phone:** (906) 296-3301
- **Mailing address fax:** (906) 296-0779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 314010 | MI | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 09/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2155086 | — | MI |