Organization
LUTHERAN HOMES OF MICHIGAN, INC
Active
Parent organization
LUTHERAN HOMES OF MICHIGAN, INC
Other names
Wellspring Lutheran Services, Lutheran Home-Monroe
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN HOMES OF MICHIGAN, INC
Authorized official
TIMOTHY ROBERT KALBFLEISCH (CFO)
(248) 635-3316
Entity
Organization
Contact information
Practice address
1236 S MONROE ST, MONROE, MI 48161-3934
(734) 241-9533
(734) 241-9108
Mailing address
9710 JUNCTION RD., P.O. BOX 329, FRANKENMUTH, MI 48734-0329
(989) 652-3470
(989) 652-3480
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
584020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2081821
—
MI
01
—
O 9665
BCBS INS. PROVIDER #
MI
Enumeration date
06/10/2005
Last updated
09/24/2024
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