Organization · Type 2 NPI
The Grand Home of Marshall
Administrator Registered Nurse · Marshall, MI
NPI number
1669553574
Active
Practice location
111 N Grand St
Marshall, MI 49068-1503
Fax (269) 789-1212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 4704175126 (MI) |
Administrator Registered Nurse: Definition to come...
About NPI 1669553574
The Grand Home of Marshall's National Provider Identifier is 1669553574, issued on Oct 18, 2006. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Marshall, MI. The record was last updated on Aug 22, 2020.