# CLARKSTON OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Villa at Pine Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114891587
- **Authorized official:** MARCELLA GRAF (CFO)
- **Authorized official phone:** (224) 470-2044

## Contact information

- **Practice address:** 4800 CLINTONVILLE RD, CLARKSTON, MI 48346-4297
- **Practice address phone:** (248) 674-0903
- **Practice address fax:** (248) 674-3431
- **Mailing address:** 3701 W LUNT AVE, LINCOLNWOOD, IL 60712-2615
- **Mailing address phone:** (224) 470-2044
- **Mailing address fax:** (224) 470-2952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2025
- **Last updated:** 08/27/2026
