Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN LINDOW PTA,PM (PROGRAM MANAGER)
(989) 772-2957
Entity
Organization
Contact information
Practice address
1222 NORTH DR, MT PLEASANT, MI 48858-3200
(989) 772-6027
Mailing address
2611A LYNDALE AVE, MT PLEASANT, MI 48858-6010
(989) 213-6519
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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