Medilodge Of Plymouth, Inc. in Plymouth - Skilled Nursing Facility
Medilodge Of Plymouth, Inc. - NPI 1003887662
Medilodge Of Plymouth, Inc. is a Skilled Nursing Facility in Plymouth, Michigan. Medilodge Of Plymouth, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Medilodge Of Plymouth, Inc. is 1003887662. The last update date is 2009-07-16.
Medilodge Of Plymouth, Inc.'s current location address is 395 W Ann Arbor Trl, Plymouth, Michigan. You can contact this provider via phone number 7344533983 and fax number 7344148231. The mailing address for Medilodge Of Plymouth, Inc. is 395 W Ann Arbor Trl, Plymouth, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medilodge Of Plymouth, Inc. |
|---|---|
| Address | 395 W Ann Arbor Trl, Plymouth, Michigan |
| Phone Number | 7344533983 |
| Fax Number | 7344148231 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Denean Kathleen |
| Telephone Number | 5867525008 |
NPI Number Detail
| NPI Number | 1003887662 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2009-07-16 |
Provider Mailing Address Detail
| Address | 395 W Ann Arbor Trl |
|---|---|
| City | Plymouth |
| State | Michigan (MI) |
| Post Code | 481701641 |
| Phone Number | 7344533983 |
| Fax Number | 7344148231 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 824320 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3453224 | MI | -- | |
| 9839 | MI | BLUE CROSS BLUE SHIELD OF MICH |
Post Comment/ Review Below
What is the Medilodge Of Plymouth, Inc.'s 1003887662?
The Medilodge Of Plymouth, Inc.'s NPI (National Provider Identifier) Number is 1003887662. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Medilodge Of Plymouth, Inc. is physically located?
The Medilodge Of Plymouth, Inc. is physically situated at the following address: 395 W Ann Arbor Trl, Plymouth, MI, 481701641.
What is Medilodge Of Plymouth, Inc.'s area of expertise and its corresponding taxonomy classification?
The Medilodge Of Plymouth, Inc.'s field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
When did the Medilodge Of Plymouth, Inc. receive its 1003887662?
The Medilodge Of Plymouth, Inc. was issued its 1003887662 on 2006-01-31, which is the date when the organization was assigned this unique identifier.
When was the information regarding Medilodge Of Plymouth, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Medilodge Of Plymouth, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-07-16.