Organization
CEDAR CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J LINDSEY DOOD (CFO)
(616) 975-5287
Entity
Organization
Contact information
Practice address
400 JEFFERY ST, CEDAR SPRINGS, MI 49319-9572
(616) 696-0170
(616) 696-4884
Mailing address
4630 PLAINFIELD AVENUE NE, SUITE 100, GRAND RAPIDS, MI 49525
(616) 957-3975
(616) 957-1556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
414360
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1786240
—
MI
Enumeration date
09/09/2005
Last updated
12/10/2008
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