Organization
HYLAND CONVALESCENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE L REDDING (ADMINISTRATOR)
(906) 774-9333
Entity
Organization
Contact information
Practice address
601 E G ST, IRON MOUNTAIN, MI 49801-4061
(906) 774-9333
Mailing address
601 E G ST, IRON MOUNTAIN, MI 49801-4061
(906) 774-9333
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
22-404
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080510
—
MI
Enumeration date
12/08/2006
Last updated
08/22/2020
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