NPI 1275822991 · live from the CMS NPI Registry
Jessica M Allen, COTA/L
Skilled Nursing Facility in Cadillac, MI. National Provider Identifier 1275822991, active.
NPI record
| NPI | 1275822991 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 419 Linden St, Cadillac, MI 49601 |
| Practice phone | 231-510-2391 |
| Enumerated | April 4, 2011 |
| Last updated | April 4, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 5202007371 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.