Organization
MAGNUM HEALTH AND REHAB OF ADRIAN LLC
Active
Other names
Magnum Care of Adrian
Organization subpart
No
Provider details
NPI number
Authorized official
VIOLA DAVIS (ADMINISTRATOR)
(517) 265-6554
Entity
Organization
Contact information
Practice address
130 SAND CREEK HWY, ADRIAN, MI 49221-9129
(517) 265-6554
(517) 263-0657
Mailing address
130 SAND CREEK HWY, ADRIAN, MI 49221-9129
(517) 265-6554
(517) 263-0657
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-5504
MEDICARE PROVIDER NUMBER
MI
Enumeration date
04/22/2010
Last updated
01/27/2015
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