Organization
COUNTY OF OAKLAND
Active
Other names
Golden Oaks Medical Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE J. MILLER (DIRECTOR)
(248) 858-1293
Entity
Organization
Contact information
Practice address
1200 N TELEGRAPH RD, BLDG. 34 EAST, PONTIAC, MI 48341-0432
(248) 858-1415
(248) 858-4026
Mailing address
1200 N TELEGRAPH RD, BLDG. 34 EAST, PONTIAC, MI 48341-0432
(248) 858-1415
(248) 858-4026
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
638510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09803
BCBS PROVIDER ID
MI
05
—
2085240
—
MI
05
—
61 2085240
—
MI
Enumeration date
06/09/2006
Last updated
06/09/2010
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