Organization
BON SECOURS COTTAGE NURSING CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY HUNTER (BILLING SUPERVISOR)
(586) 447-4161
Entity
Organization
Contact information
Practice address
26001 JEFFERSON AVE, ST CLAIR SHORES, MI 48081-2309
(586) 447-4171
(586) 447-4180
Mailing address
PO BOX 77000, DETROIT, MI 48277-2000
(586) 447-4171
(586) 447-4180
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
504011
STATE LICENSE
MI
05
—
601689102
—
MI
Enumeration date
07/28/2005
Last updated
08/07/2008
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