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Organization
GLACIER HILLS INC.
Active
Organization
GLACIER HILLS INC.
Active
Other names
Glacier Hills
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SUE LATOVICK (VICE PRESIDENT REIMBURSEMENT)
(734) 343-6628
Entity
Organization
Contact information
Practice address
1200 EARHART RD, ANN ARBOR, MI 48105-2768
(734) 769-6410
(734) 769-5958
Mailing address
1200 EARHART RD, ANN ARBOR, MI 48105-2768
(734) 769-6410
(734) 769-5958
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
814110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09522
BLUE CROSS PROVIDER NUMBE
MI
05
—
2080717
—
MI
Enumeration date
06/06/2006
Last updated
09/11/2022
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