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Organization

IHS ACQUISITION NO. 150, INC.

Active
Other names
Silverbrook Manor
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH TABLER (VICE PRESIDENT)
(410) 773-1000
Entity
Organization

Contact information

Practice address
911 S 3RD ST, NILES, MI 49120-3414
(616) 684-4320
(616) 684-6744
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2154113
MI
Enumeration date
10/07/2006
Last updated
04/15/2009
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