THE GRAND HOME OF MARSHALL
Nursing Yellow Pages
Marshall, Michigan
Provider NPI: 1669553574
Organization Information:Organization Name: THE GRAND HOME OF MARSHALL
Practice Location:
111 N GRAND ST MARSHALL, MI 49068 US
Tel: 269-789-1111 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
111 N GRAND ST MARSHALL, MI 49068 US
Tel: 269-789-1111 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 163WA2000X | Nursing Service Providers Registered Nurse Administrator | MI | 4704175126 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
101093562399 | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin