Organization
OAK HEALTH CARE INVESTORS OF COLDWATER, INC
Active
Other names
THE LAURELS OF COLDWATER
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS KHAN (CFO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
90 N MICHIGAN AVE, COLDWATER, MI 49036-1527
(517) 279-9808
(517) 278-8573
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
124020
MI
314000000X
Skilled Nursing Facility
Primary
124020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09725
BLUE CROSS BLUE SHIELD #
MI
01
—
124020
FACILITY LICENSE
MI
05
—
3049622
—
MI
Enumeration date
05/22/2006
Last updated
09/10/2021
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