NPI | 1740264522 |
---|---|
Doing Business As | SPECTRUM HEALTH REHAB & NURSING CENTER FULLER |
Entity Type | Organization |
Authorized Contact | KEVIN SMITH VP Finance 616-486-2672 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 413090) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 413090) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2015-03-26 |