# ORCHARD GROVE HEATHCARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265510473
- **Authorized official:** ALLEN CRAIG TSCHUDI (MANAGING MEMBER)
- **Authorized official phone:** (502) 429-8062

## Contact information

- **Practice address:** 1385 E EMPIRE AVE, BENTON HARBOR, MI 49022-2037
- **Practice address phone:** (269) 925-0033
- **Practice address fax:** (269) 925-2019
- **Mailing address:** 7400 NEW LAGRANGE RD STE 100, LOUISVILLE, KY 40222-4870
- **Mailing address phone:** (502) 429-8062
- **Mailing address fax:** (502) 429-5980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 114150 | MI | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4549277 | — | MI |