Organization
THE GRAND HOME OF MARSHALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA ANN SCHOOK REGISTERED NURSE (ADMINISTRATOR)
(269) 789-1111
Entity
Organization
Contact information
Practice address
111 N GRAND ST, MARSHALL, MI 49068-1503
(269) 789-1111
(269) 789-1212
Mailing address
111 N GRAND ST, MARSHALL, MI 49068-1503
(269) 789-1111
(269) 789-1212
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704175126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101093562399
—
IN
Enumeration date
10/18/2006
Last updated
08/22/2020
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