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NPI 1457699043 · live from the CMS NPI Registry

Farmington Nursing, LLC

Skilled Nursing Facility in Farmington, MI. National Provider Identifier 1457699043, active.

NPI record

NPI1457699043 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location34225 Grand River Ave, Farmington, MI 48335
Practice phone248-477-7373
Mailing address25 Ionia Ave Sw Ste 506, White Pine Management, LLC C/O Big Bay Ventures, LLC, Grand Rapids, MI 49503
EnumeratedJanuary 17, 2013
Last updatedJanuary 17, 2013
Authorized officialBretton Bolt, Ceo
Other namesWhite Pine Rehabilitation & Healthcare Of Farmington

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.