Organization
ALAMO NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A PERRY RN (ADMINISTRATOR)
(269) 343-2587
Entity
Organization
Contact information
Practice address
8290 W C AVE, KALAMAZOO, MI 49009-8825
(269) 343-2587
(269) 343-7707
Mailing address
8290 W C AVE, KALAMAZOO, MI 49009-8825
(269) 343-2587
(269) 343-7707
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
394010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09628
BLUE CROSS BLUE SHIELD
MI
05
—
2150384
—
MI
Enumeration date
10/14/2005
Last updated
07/03/2008
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