Organization
MEADOW BROOK MEDICAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY MARTIN RN (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
314000000X
Skilled Nursing Facility
Primary
058510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09637
BLUE CROSS BLUE SHIELD
MI
05
—
2085141
—
MI
Enumeration date
06/21/2005
Last updated
08/22/2020
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