Medilodge Of Plymouth, Inc.
LBN: Medilodge Of Plymouth, Inc.
Medilodge Of Plymouth, Inc. is an health care organization with primary practice located at 395 W Ann Arbor Trl , Plymouth MI 48170-1641. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Medilodge Of Plymouth, Inc. can be contacted via phone (734) 453-3983, or through Denean, Kathleen via phone (586) 752-5008.
Contact Information
Primary practice address
395 W Ann Arbor Trl
Plymouth MI 48170-1641
Phone: (734) 453-3983
Fax: (734) 414-8231
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 824320 | Michigan |
Profile Details
NPI number | 1003887662 |
---|---|
LBN Legal business name | Medilodge Of Plymouth, Inc. |
DBA Doing business as | |
Authorized official | Denean, Kathleen |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 31st, 2006 |
Last updated | Jul 16th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003887662 | NPPES |
Michigan | MEDICAID | 3453224 | |
Michigan | Other | 09839 |
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