Organization
WELLBRIDGE OF FENTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DANIEL PERRY NHA (COO)
(810) 623-5216
Entity
Organization
Contact information
Practice address
901 PINE CREEK DRIVE, FENTON, MI 48430
(810) 623-5216
(517) 947-4450
Mailing address
901 PINE CREEK DRIVE, FENTON, MI 48430
(810) 623-5216
(517) 947-4450
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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