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Organization

TUSCOLA COUNTY MEDICAL CARE FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARGOT D ROEDEL R.N., N.H.A. (ADMINISTRATOR)
(989) 673-4117
Entity
Organization

Contact information

Practice address
1285 CLEAVER RD, CARO, MI 48723-9241
(989) 673-4117
(989) 673-6665
Mailing address
1285 CLEAVER RD, CARO, MI 48723-9241
(989) 673-4117
(989) 673-6665

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
798510
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09653
INSURANCE ID BCBSM
MI
01
1222890001
DMERC ID - ADMINISTAR
MI
05
2085188
MI
Enumeration date
07/01/2005
Last updated
12/14/2007
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