Organization
ODD FELLOW & REBEKAH HOME OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY HILER N.H.A. (NURSING HOME ADMINISTRATOR)
(517) 787-5140
Entity
Organization
Contact information
Practice address
2388 W MICHIGAN AVE, JACKSON, MI 49202-3919
(517) 787-5140
(517) 787-0722
Mailing address
2388 W MICHIGAN AVE, JACKSON, MI 49202-3919
(517) 787-0722
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
384200
MI
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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