Organization
NEWAYGO MEDICAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH ANN STILL LNHA, BSN, RN (ADMINISTRATOR)
(231) 924-2020
Entity
Organization
Contact information
Practice address
4465 W 48TH ST, FREMONT, MI 49412-8721
(231) 924-2020
(231) 924-2366
Mailing address
4465 W 48TH STREET, FREMONT, MI 49412
(231) 924-2020
(231) 924-2366
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
628510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612085259
—
MI
Enumeration date
05/10/2006
Last updated
11/16/2015
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