Organization
LAUREL HEALTH CARE COMPANY OF MT PLEASANT
Active
Other names
THE LAURELS OF MT PLEASANT
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS KHAN (CFO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
400 S CRAPO ST, MT PLEASANT, MI 48858-2944
(989) 773-5918
(989) 772-3656
Mailing address
4000 TOWN CTR STE 2000, SOUTHFIELD, MI 48075-1415
(248) 386-0300
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
374010
MI
314000000X
Skilled Nursing Facility
374010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09686
BLUE CROSS BLUE SHIELD #
MI
05
—
3202082
—
MI
01
—
374010
NURSING HOME LICENSE #
MI
Enumeration date
05/23/2006
Last updated
09/08/2021
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