Organization
IHS ACQUISITION NO 114 INC
Active
Other names
Lynwood Manor Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
Entity
Organization
Contact information
Practice address
730 KIMOLE LANE, ADRIAN, MI 49221-1463
(517) 263-6771
(517) 265-8599
Mailing address
730 KIMOLE LANE, ADRIAN, MI 49221-1463
(517) 263-6771
(517) 265-8599
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNFLTC464050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
604163621
—
MI
Enumeration date
12/23/2005
Last updated
07/16/2014
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