# HERRICK MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HERRICK MEMORIAL HOSPITAL, INC.
- **Other names:** Herrick Manor
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760552574
- **Legal business name:** HERRICK MEMORIAL HOSPITAL, INC.
- **Authorized official:** HAYLEY M. STUBER (DIRECTOR)
- **Authorized official phone:** (419) 824-7576

## Contact information

- **Practice address:** 502 EAST POTTAWATTAMIE ST., TECUMSEH, MI 49286-2018
- **Practice address phone:** (517) 424-3365
- **Practice address fax:** (517) 424-3902
- **Mailing address:** 502 EAST POTTAWATTAMIE ST., TECUMSEH, MI 49286-2018
- **Mailing address phone:** (517) 424-3365
- **Mailing address fax:** (517) 424-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 464010 | MI | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 02/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 464010 | — | MI |