Organization
SAMARITAS LUTHERAN SOCIAL SERVICES OF MICHIGAN
Active
Other names
Lutheran Social Services of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY CEDERSTROM (CHIEF FINANCE OFFICER)
(586) 506-0325
Entity
Organization
Contact information
Practice address
3161 DAVENPORT, SAGINAW, MI 48602
(989) 799-1902
(989) 799-0805
Mailing address
8131 E. JEFFERSON, DETROIT, MI 48214
(313) 823-7700
(313) 823-9604
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10700000219
MI
314000000X
Skilled Nursing Facility
734110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09581
BCBS
MI
05
—
2150787
—
MI
Enumeration date
08/23/2005
Last updated
05/10/2017
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