NPI | 1750374914 |
---|---|
Doing Business As | THE LODGE AT MAPLECREEK |
Entity Type | Organization |
Authorized Contact | JENNY CEDERSTROM CFO 313-823-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 414021) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2017-01-25 |