Organization · Type 2 NPI

State of Michigan Office of Financial Management

Nursing Facility/Intermediate Care Facility · Marquette, MI

NPI number 1285604819 Active

Practice location

425 Fisher St
Marquette, MI 49855

Fax (906) 226-2380

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	52-6160 (MI)
Long Term Care Pharmacy	3336L0003X	5301005604 (MI)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

7 other providers at this address

NPI record

NPI: 1285604819
Entity type: Organization (Type 2)
Issued: Jan 25, 2006
Last updated: Aug 4, 2021
Status: Active
Subpart: Yes of State of Michigan

Other names

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D.j. Jacobetti Home for Veterans · doing business as
D.j. Jacobetti Home for Veterans · doing business as

Authorized official

Ronald Oja
Administrator
(906) 226-3576

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285604819

State of Michigan Office of Financial Management's National Provider Identifier is 1285604819, issued on Jan 25, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Marquette, MI. The record was last updated on Aug 4, 2021.