Organization
MANISTEE COUNTY MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA DUCHON R.N., LNHA (ADMINISTRATOR)
(231) 723-2543
Entity
Organization
Contact information
Practice address
1505 E PARKDALE AVE, MANISTEE, MI 49660-9319
(231) 723-2543
(231) 723-1773
Mailing address
1505 E PARKDALE AVE, MANISTEE, MI 49660-9319
(231) 723-2543
(231) 723-1773
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
518510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09635
BLUECROSS BLUESHIELD
MI
05
—
2085295
—
MI
Enumeration date
06/24/2005
Last updated
03/24/2008
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