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Organization

BORGESS NURSING HOME INC

Active
Other names
Ascension Living Borgess Place
Organization subpart
No

Provider details

NPI number
Authorized official
KELLIE GRONEFELD (COO)
(314) 729-3500
Entity
Organization

Contact information

Practice address
3057 GULL RD, KALAMAZOO, MI 49048-1281
(269) 552-6500
(269) 552-6510
Mailing address
3057 GULL RD, KALAMAZOO, MI 49048-1281
(269) 552-6500
(269) 552-6510

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
394120
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1312883
MI
01
O9663
BLUE CROSS SNF
MI
Enumeration date
04/25/2006
Last updated
06/28/2024
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