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Mrs. Kathleen Marie Ellis, LPTA
Nursing Facility/Intermediate Care Facility in Fenton, Michigan
NPI 1346685575

Kathleen Marie Ellis is a Nursing Facility/Intermediate Care Facility based in Davison, MI. Kathleen Marie Ellis practices in Fenton, MI and has the professional credentials of LPTA. The NPI Number for Kathleen Marie Ellis is 1346685575 and holds a License No. 5502001225 (Michigan).

The current practice location address for Kathleen Marie Ellis is 512 Beach St, Fenton, MI and can be reached out via phone at 810-629-4117.

Location: 512 Beach St, Fenton, MI, 48423-8517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346685575
Provider Name
Kathleen Marie Ellis
Credential
LPTA
Provider Entity Type
Individual
Gender
Female
Address
512 Beach St, Fenton, MI, 48423-8517
Phone Number
810-629-4117
Fax Number
Provider Enumeration Date
05/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
512 Beach St
City
Fenton
State
Michigan
Zip
48430-3122
Phone Number
810-629-4117
Fax Number
person
Provider Business Mailing Address Details
Address
512 Beach St
City
Fenton
State
Michigan
Zip
48430-3122
Phone Number
810-629-4117
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
5502001225 (Michigan)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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