Organization
MEDILODGE OF MONROE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET E DALY RN,NHA (NURSING HOME ADMINISTRATOR)
(734) 242-6282
Entity
Organization
Contact information
Practice address
481 VILLAGE GREEN LN, MONROE, MI 48162-3367
(734) 242-6282
(734) 242-6491
Mailing address
481 VILLAGE GREEN LN, MONROE, MI 48162-3367
(734) 242-6282
(734) 242-6491
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
584040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4216270
—
MI
Enumeration date
02/20/2006
Last updated
08/22/2020
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