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Organization

ST. MICHAEL NURSING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA A JOHNSON (ADMINISTRATOR)
(313) 892-3600
Entity
Organization

Contact information

Practice address
19175 ANGLIN ST, DETROIT, MI 48234-1407
(313) 892-3600
(313) 892-5624
Mailing address
19175 ANGLIN ST, DETROIT, MI 48234-1407
(313) 892-3600
(313) 892-5624

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
834031
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3178479
MI
Enumeration date
09/22/2005
Last updated
08/22/2020
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