Organization
MANOR CARE OF KINGSFORD MI, LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Kingsford)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
1225 WOODWARD AVE, KINGSFORD, MI 49802-4312
(906) 774-4805
(906) 774-3698
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
224030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605303656
—
MI
Enumeration date
06/10/2006
Last updated
04/21/2023
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