Organization
GLACIER HILLS INC.
Active
Other names
Glacier Hills
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SUE LATOVICK (VICE PRESIDENT REIMBURSEMENT)
(734) 343-6628
Entity
Organization
Contact information
Practice address
1200 EARHART RD, ANN ARBOR, MI 48105-2768
(734) 769-6410
(734) 769-5958
Mailing address
1200 EARHART RD, ANN ARBOR, MI 48105-2768
(734) 769-6410
(734) 769-5958
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
814110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09522
BLUE CROSS PROVIDER NUMBE
MI
05
—
2080717
—
MI
Enumeration date
06/06/2006
Last updated
09/11/2022
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