Organization
MAGNUM HEALTH AND REHAB OF MONROE LLC
Active
Other names
Magnum Care of Monroe
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN STODDARD (ADMINISTRATOR)
(734) 242-4848
Entity
Organization
Contact information
Practice address
1215 N TELEGRAPH RD, MONROE, MI 48162-3368
(734) 242-4848
(734) 242-2007
Mailing address
1215 N TELEGRAPH RD, MONROE, MI 48162-3368
(734) 242-4848
(734) 242-2007
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-5232
MEDICARE
MI
Enumeration date
04/23/2010
Last updated
01/27/2015
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