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Organization
MANLEYS COUNTRYSIDE MANOR
Active
Organization
MANLEYS COUNTRYSIDE MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOREEN MARIE BROWN (OWNER)
(269) 782-6320
Entity
Organization
Contact information
Practice address
55531 NUBOUR RD, DOWAGIAC, MI 49047-8715
(269) 782-6320
Mailing address
55531 NUBOUR RD, DOWAGIAC, MI 49047-8715
(269) 782-6320
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF140001319
MI
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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