Organization
LUTHERAN HOMES OF MICHIGAN INC
Active
Other names
Lutheran Home-Monroe Home for Aged
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G CORBY (CONTROLLER)
(989) 652-3470
Entity
Organization
Contact information
Practice address
1236 S MONROE STREET, HOME FOR THE AGED, MONROE, MI 48161-3998
(734) 241-9533
(734) 241-9108
Mailing address
9710 JUNCTION RD, PO BOX 329, FRANKENMUTH, MI 48734-0329
(989) 652-3470
(989) 652-3480
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O 9665
BCBS INS. PROVIDER #
MI
Enumeration date
06/10/2005
Last updated
09/14/2007
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