NPI 1679568455 · live from the CMS NPI Registry
Cedar Knoll Care Center
Skilled Nursing Facility in Grass Lake, MI. National Provider Identifier 1679568455, active.
NPI record
| NPI | 1679568455 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 9230 Cedar Knoll Dr, Grass Lake, MI 49240 |
| Practice phone | 517-522-8471 |
| Enumerated | September 16, 2005 |
| Last updated | August 22, 2020 |
| Authorized official | John Hupp, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.