Organization
THE LAURELS OF CARSON CITY, LLC
Active
Other names
The Laurels of Carson City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIS KHAN (CFO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
620 N. SECOND STREET, CARSON CITY, MI 48811
(614) 794-8800
(614) 794-8826
Mailing address
4000 TOWN CTR, SOUTHFIELD, MI 48075-1410
(248) 386-0300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
594041
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5256082
—
MI
Enumeration date
04/13/2007
Last updated
09/10/2021
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