Organization · Type 2 NPI

Medilodge of Port Huron, LLC

Skilled Nursing Facility · Fort Gratiot, MI

NPI number 1891955720 Active

Practice location

5635 Lakeshore Rd
Fort Gratiot, MI 48059-2817

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1891955720

Medilodge of Port Huron, LLC's National Provider Identifier is 1891955720, issued on Jun 13, 2008. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Fort Gratiot, MI. The record was last updated on Jun 13, 2008.