Provider Demographics
NPI:1669046835
Name:STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Entity type:Organization
Organization Name:STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP BUS SVCS
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-275-1183
Mailing Address - Street 1:2950 MONROE AVE NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-3300
Mailing Address - Country:US
Mailing Address - Phone:616-364-5344
Mailing Address - Fax:
Practice Address - Street 1:2950 MONROE AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-3300
Practice Address - Country:US
Practice Address - Phone:616-364-5344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility