Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL NICHOLE WIECIECH SLP (PROGRAM DIRECTOR)
(906) 204-2555
Entity
Organization
Contact information
Practice address
931 BALDWIN AVE, NEGAUNEE, MI 49866-1064
(906) 235-1911
Mailing address
931 BALDWIN AVE, NEGAUNEE, MI 49866-1064
(906) 235-1911
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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