Organization
LAUREL HEALTH CARE COMPANY OF BATTLE CREEK
Active
Other names
THE LAURELS OF BEDFORD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIS KHAN (CFO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
270 NORTH BEDFORD ROAD, BATTLE CREEK, MI 49017
(616) 968-2296
(616) 968-8943
Mailing address
4000 TOWN CTR STE 2000, SOUTHFIELD, MI 48075-1415
(248) 386-0300
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
134150
MI
314000000X
Skilled Nursing Facility
Primary
134150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09668
BLUE CROSS CLUE SHIELD #
MI
01
—
134150
NURSING HOME LICENSE #
MI
05
—
3198257
—
MI
Enumeration date
05/26/2006
Last updated
09/08/2021
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