Organization
JORDAN'S NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY JORDAN (ADMINISTRATOR)
(269) 465-3017
Entity
Organization
Contact information
Practice address
9935 RED ARROW HWY, BRIDGMAN, MI 49106-0607
(269) 465-3017
(269) 465-0327
Mailing address
9935 RED ARROW HWY, BRIDGMAN, MI 49106-0607
(269) 465-3017
(269) 465-0327
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
114170
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2151327
—
MI
Enumeration date
07/28/2006
Last updated
04/20/2008
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