# JHA DOWAGIAC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dowagiac Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992755375
- **Authorized official:** MR. JOHN HUPP (OWNER)
- **Authorized official phone:** (517) 796-8740

## Contact information

- **Practice address:** 610 UNETA ST, DOWAGIAC, MI 49047-1557
- **Practice address phone:** (269) 782-3471
- **Practice address fax:** (269) 782-1681
- **Mailing address:** 610 UNETA ST, DOWAGIAC, MI 49047-1557
- **Mailing address phone:** (269) 782-3471
- **Mailing address fax:** (269) 782-1681

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4453130 | — | MI |