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Organization

FIVE STAR QUALITY CARE-MI LLC

Active
Parent organization
FIVE STAR QUALITY CARE-MI LLC
Other names
Farmington Health Care Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
FIVE STAR QUALITY CARE-MI LLC
Authorized official
BRUCE J MACKEY JR. (CEO)
(617) 796-8387
Entity
Organization

Contact information

Practice address
34225 GRAND RIVER AVE, FARMINGTON, MI 48335-3440
(248) 477-7373
(248) 477-2888
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8375

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
634450
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4292558/60 & 42925
MI
Enumeration date
05/24/2006
Last updated
05/29/2008
About Stedi
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  • EDI platform