Organization
ALLEGAN NURSING HOME, LLC
Active
Other names
Metron of Allegan
Organization subpart
No
Provider details
NPI number
Authorized official
J. LINDSEY DOOD (EXECUTIVE VICE PRESIDENT AND CFO)
(616) 957-3957
Entity
Organization
Contact information
Practice address
1200 ELY ST, ALLEGAN, MI 49010-9368
(269) 673-5494
(269) 673-2781
Mailing address
3075 ORCHARD VISTA DR SE, SUITE 100, GRAND RAPIDS, MI 49546-7069
(616) 957-3957
(616) 957-1556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
034040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2831215
—
MI
Enumeration date
07/15/2006
Last updated
11/24/2008
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