Provider Demographics
NPI:1861804817
Name:CHELSEA RETIREMENT COMMUNITY
Entity type:Organization
Organization Name:CHELSEA RETIREMENT COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. BILLING ANAYLIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-433-1000
Mailing Address - Street 1:805 W MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-1369
Mailing Address - Country:US
Mailing Address - Phone:734-433-1000
Mailing Address - Fax:734-475-8321
Practice Address - Street 1:805 W MIDDLE ST
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-1369
Practice Address - Country:US
Practice Address - Phone:734-433-1000
Practice Address - Fax:734-475-8321
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED METHODIST RETIREMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility