Organization
CHERRY BLOSSOM MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN HINDMAN (PRESIDENT)
(231) 873-5377
Entity
Organization
Contact information
Practice address
611 E MAIN ST, SUITE B, HART, MI 49420-1190
(231) 873-5377
(231) 873-7108
Mailing address
PO BOX 332, HART, MI 49420-0332
(231) 873-5377
(231) 873-7108
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AH640236763
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4523065
—
MI
Enumeration date
07/17/2015
Last updated
07/17/2015
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