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Organization

STONE CREEK MANOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHAWN MARIE THOMPSON (OWNER)
(810) 687-2855
Entity
Organization

Contact information

Practice address
609 STONE CREEK PASS, CLIO, MI 48420
(810) 687-2855
(810) 687-2855
Mailing address
609 STONE CREEK PASS, CLIO, MI 48420
(810) 687-2855
(810) 687-2855

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
AF250248959
MI

Other

Enumeration date
12/13/2006
Last updated
08/01/2008
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