THE GRAND HOME OF MARSHALL; NPI #1669553574

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

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NPI Profile & details for THE GRAND HOME OF MARSHALL

NPI Number 1669553574

LBN Legal business name THE GRAND HOME OF MARSHALL

Authorized official REBECCA SCHOOK - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/18/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

MI	License #	4704175126
IN	Medicaid	101093562399

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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THE GRAND HOME OF MARSHALL

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NPI Profile & details for THE GRAND HOME OF MARSHALL

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