Organization
MEADOW BROOK MEDICAL CARE FACILITY
Active
Parent organization
MEADOW BROOK MEDICAL CARE FACILITY
Other names
Meadow Brook Outpatient Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEADOW BROOK MEDICAL CARE FACILITY
Authorized official
MARNA ROBERTSON NHA (ADMINISTRATOR)
(231) 533-8661
Entity
Organization
Contact information
Practice address
4543 S M 88 HWY, BELLAIRE, MI 49615-9109
(231) 533-8661
(231) 533-4841
Mailing address
4543 S M 88 HWY, BELLAIRE, MI 49615-9109
(231) 533-8661
(231) 533-4841
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61-2085141
—
MI
Enumeration date
03/26/2015
Last updated
12/12/2016
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