Organization
COLONIAL REST HOME INC
Active
Other names
The Carriage House of Bay City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAPHAEL DUBAY (OWNER ADMINISTRATOR)
(989) 684-2303
Entity
Organization
Contact information
Practice address
2394 MIDLAND RD, BAY CITY, MI 48706-9402
(989) 684-2303
(989) 684-2849
Mailing address
2394 MIDLAND RD, BAY CITY, MI 48706-9402
(989) 684-2303
(989) 684-2849
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
094010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080190
—
MI
Enumeration date
08/09/2005
Last updated
08/22/2020
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