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THE GRAND HOME OF MARSHALL
Administrator

NPI Profile for THE GRAND HOME OF MARSHALL in MARSHALL, MI.

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Contact Information

THE GRAND HOME OF MARSHALL
111 N GRAND ST
MARSHALL, MI  49068-1503
 Phone: 269-789-1111
 Fax: 269-789-1212
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Administrator

 163WA2000X
Indicates primary specialty

NPI Profile & details for THE GRAND HOME OF MARSHALL · (Female)

NPI Number 1669553574
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4704175126
  • IN Medicaid 101093562399
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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