Organization
INGHAM COUNTY MEDICAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H STEVENS NHA (ADMINISTRATOR)
(517) 381-6199
Entity
Organization
Contact information
Practice address
3860 DOBIE RD, OKEMOS, MI 48864-3704
(517) 381-6100
(517) 381-6201
Mailing address
3860 DOBIE RD, OKEMOS, MI 48864-3704
(517) 381-6100
(517) 381-6201
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
338510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61-2085007
—
MI
Enumeration date
06/22/2005
Last updated
10/28/2020
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