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MILL CREEK MEMORY CARE COMMUNITY NPI 1326328121


NPI Information

NPI: 1326328121
Provider Name: MILL CREEK MEMORY CARE COMMUNITY
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization

CLIA Number: 23D2201668

Address:
1600 MILL CREEK CT
MARQUETTE, MI
ZIP 49855
Phone: (906) 225-5512
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MILL CREEK MEMORY CARE COMMUNITY is a residential treatment facility physical disabilities in Marquette, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. MILL CREEK MEMORY CARE COMMUNITY NPI is 1326328121. The provider is registered as an organization entity type.

The provider's business location address is:

1600 MILL CREEK CT
MARQUETTE, MI
ZIP 49855-877
Phone: (906) 225-5512
Fax: (906) 225-0988

The provider's authorized official is Mary Mahaney .
The authorized official title is Administrator and has the following contact phone number (906) 225-5512.

The CLIA number assigned to this NPI record is 23D2201668 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 8/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical DisabilitiesAH520306235MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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