Organization
MICHIGAN MASONIC HOME
Active
Other names
Masonic Pathways
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MAPES PRESIDENT, HOME BOAR (PRESIDENT)
(989) 463-4285
Entity
Organization
Contact information
Practice address
1200 WRIGHT AVE, ALMA, MI 48801-1133
(989) 463-3141
(989) 466-2796
Mailing address
1200 WRIGHT AVE, ALMA, MI 48801-1133
(989) 463-3141
(989) 466-2796
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
294040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09597
BCBS OF MICHIGAN
MI
05
—
2080833
—
MI
Enumeration date
06/01/2005
Last updated
12/29/2014
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