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Contact Information

LAUREL HEALTH CARE COMPANY OF LOWELL
350 N CENTER ST
LOWELL, MI49331-1212
 Phone: 616-897-8473
 Fax: 616-897-0081
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LAUREL HEALTH CARE COMPANY OF LOWELL

NPI Number 1639124308
LBN Legal business name LAUREL HEALTH CARE COMPANY OF LOWELL
Authorized official ANIS KHAN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2006
Last updated 09/10/2021 - About 5 years ago
Identifiers
MI License # 414340
MI Medicaid 3202073
MI Other 09848 BLUE CROSS BLUE SHIELD #
MI Other 414340 NURSING HOME LICENSE #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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