Organization
FREMONT HEALTHCARE LLC
Active
Other names
Regency at Fremont
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI L HUNT (PARALEGAL)
(248) 262-2357
Entity
Organization
Contact information
Practice address
4554 W 48TH ST, FREMONT, MI 49412-8721
(231) 924-3990
(231) 924-2881
Mailing address
4554 W 48TH ST, FREMONT, MI 49412-8721
(231) 924-3990
(231) 924-2881
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
624030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4636514
—
MI
Enumeration date
06/03/2006
Last updated
11/10/2021
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