Organization
FERGUSON CONVALESCENT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA LEE FERGUSON (ADMINISTRATOR)
(810) 664-6611
Entity
Organization
Contact information
Practice address
239 S MAIN ST, LAPEER, MI 48446-2426
(810) 664-6611
(810) 664-8633
Mailing address
239 S MAIN ST, LAPEER, MI 48446-2426
(810) 664-6611
(810) 664-8633
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
44-4010
MI
314000000X
Skilled Nursing Facility
44-4010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153214
—
MI
Enumeration date
11/03/2005
Last updated
09/14/2011
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