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Organization

NATHAN'S PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA PHILLIPS (ADMINISTRATOR)
(810) 635-2400
Entity
Organization

Contact information

Practice address
7471 COOK RD, SWARTZ CREEK, MI 48473-9109
(810) 635-2400
(810) 635-2400
Mailing address
7471 COOK RD, SWARTZ CREEK, MI 48473-9109
(810) 635-2400
(810) 635-2400

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
311ZA0620X
MI

Other

Enumeration date
04/02/2008
Last updated
04/02/2008
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