Provider Demographics
NPI:1427375948
Name:MAGNUM HEALTH AND REHAB OF ALBION LLC
Entity type:Organization
Organization Name:MAGNUM HEALTH AND REHAB OF ALBION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AVI
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-888-3310
Mailing Address - Street 1:1000 W ERIE ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:MI
Mailing Address - Zip Code:49224-1568
Mailing Address - Country:US
Mailing Address - Phone:517-629-5501
Mailing Address - Fax:517-629-5159
Practice Address - Street 1:1000 W ERIE ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:MI
Practice Address - Zip Code:49224-1568
Practice Address - Country:US
Practice Address - Phone:517-629-5501
Practice Address - Fax:517-629-5159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI235394OtherMEDICARE PROVIDER