Organization
MEDILODGE OF MILFORD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN DENEAN (CHIEF EXECUTIVE OFFICIER)
(586) 752-5008
Entity
Organization
Contact information
Practice address
555 HIGHLAND AVE, MILFORD, MI 48381-1517
(248) 685-1460
(248) 684-1564
Mailing address
555 HIGHLAND AVE, MILFORD, MI 48381-1517
(586) 752-5008
(586) 752-7609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/13/2008
Last updated
09/04/2013
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