Organization
STONEGATE VILLAGE ASSISTED LIVING
Active
Other names
Stonegate Village Assisted Living - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS NOBEL (PRESIDENT)
(810) 648-9410
Entity
Organization
Contact information
Practice address
70 W ARGYLE ST, SANDUSKY, MI 48471-1081
(810) 648-9410
Mailing address
70 W ARGYLE ST, SANDUSKY, MI 48471-1081
(810) 648-9410
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1102197
MI
Other
Enumeration date
03/31/2010
Last updated
08/30/2011
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