Organization
FARMINGTON NURSING, LLC
Active
Other names
White Pine Rehabilitation & Healthcare of Farmington
Organization subpart
No
Provider details
NPI number
Authorized official
BRETTON J BOLT (CEO)
(301) 991-1388
Entity
Organization
Contact information
Practice address
34225 GRAND RIVER AVE, FARMINGTON, MI 48335-3440
(248) 477-7373
Mailing address
25 IONIA AVE SW STE 506, WHITE PINE MANAGEMENT, LLC C/O BIG BAY VENTURES, LLC, GRAND RAPIDS, MI 49503-4179
(301) 991-1388
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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