Wellbridge Of Clarkston, LLC
Skilled Nursing Facility in Independence Township, MI. Organization (NPI-2).
NPI number1669965299
StatusActive
Last updated in NPPESFeb 4, 2019
Details
- NPI
- 1669965299
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellbridge Of Clarkston, LLC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2018
- Last updated
- Feb 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
5655 Clarkston RoadIndependence Township, MI 48348
Phone 810-534-0150
Mailing address
10503 Citation Dr Ste 100Brighton, MI 48116-6551
Phone 810-534-0150
Authorized official
Todd Sangster
Cfo
8105340150
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