Organization
SANILAC COUNTY
Active
Parent organization
SANILAC COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANILAC COUNTY
Authorized official
MR. KIM K KLIDA (ADMINISTRATOR)
(810) 648-3017
Entity
Organization
Contact information
Practice address
137 N ELK ST, SANDUSKY, MI 48471-1129
(810) 648-3017
(810) 648-4912
Mailing address
137 N ELK ST, SANDUSKY, MI 48471-1129
(810) 648-3017
(810) 648-4912
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
768510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085517
—
MI
Enumeration date
07/05/2005
Last updated
01/25/2018
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