Cynthia Angell
Individual provider Active NPI Skilled Nursing Facility · Roscommon, MI
NPI 1215368337 · NPPES record last updated Dec 1, 2013
Key facts
- NPI
- 1215368337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 5201003740 (MI)
- Practice address
- 1290 E Michigan Hwy
Roscommon, MI 48653-8757 - Phone
- (989) 275-8936
- Fax
- (989) 275-4808
- NPI assigned
- Dec 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201003740 | MI | MD | Skilled Nursing Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5201003740 | MI | Yes |
Addresses
Primary practice location
1290 E Michigan Hwy
Roscommon, MI 48653-8757
Mailing address
1290 E Michigan Hwy
Roscommon, MI 48653-8757
Phone (989) 275-8936
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201003740 | Other | MI | OT LICENCE 5201003740 |
Other providers in Roscommon, MI
- Act Nemt LLC
- Advanced Lymphedema and Rehab
- Aligned Counseling
- Amorette Leann Anderson
- Ankle & Foot Associates of Northern Michigan PC
- Mary Margaret Bachelder
- Tracy Marie Bacik
- James D Balger
- Allyson Barker
All providers in Roscommon, MI · Skilled Nursing Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.