Organization
MEMORY MISSION LLC
Active
Other names
Stone Lodge Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAZEM HODROGE (OWNER)
(989) 828-5683
Entity
Organization
Contact information
Practice address
415 N CHIPPEWA ST, SHEPHERD, MI 48883-9033
(989) 828-5683
(989) 567-2161
Mailing address
415 N CHIPPEWA ST, SHEPHERD, MI 48883-9033
(989) 828-5683
(989) 567-2161
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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