Organization
LITCHFIELD NURSING CENTRE, INC.
Active
Other names
Litchfield Nursing Centre
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GEORGE BANDSTRA (PRESIDENT)
(231) 799-6870
Entity
Organization
Contact information
Practice address
527 MARSHALL ST, LITCHFIELD, MI 49252-9145
(517) 542-2323
(517) 542-3032
Mailing address
5000 HAKES DR, SUITE 600, NORTON SHORES, MI 49441-5574
(231) 799-6870
(231) 799-0250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30-4010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09774
BCBS PROVIDER CODE
MI
Enumeration date
07/12/2005
Last updated
11/16/2007
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