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Organization

OLIVER WOODS RETIREMENT VILLAGE, LLC

Active
Other names
Oliver Woods Retirement Village - Laboratory
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS NOBEL (PRESIDENT)
(989) 729-6060
Entity
Organization

Contact information

Practice address
1310 W OLIVER ST, OWOSSO, MI 48867-2156
(989) 729-6060
Mailing address
1310 W OLIVER ST, OWOSSO, MI 48867-2156
(989) 729-6060

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1102234
MI

Other

Enumeration date
03/31/2010
Last updated
03/31/2010
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