# TRAVERSE GERIATRIC VILLAGE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** bortz health care of traverse
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336226752
- **Authorized official:** MR. DONALD JAMES BORTZ (PRESIDENT)
- **Authorized official phone:** (586) 759-5966

## Contact information

- **Practice address:** 2828 CONCORD ST, TRAVERSE CITY, MI 49684-4618
- **Practice address phone:** (231) 941-1200
- **Practice address fax:** (231) 941-4903
- **Mailing address:** 11700 E 10 MILE RD, WARREN, MI 48089-3903
- **Mailing address phone:** (586) 759-5966
- **Mailing address fax:** (586) 759-8006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 284010 | MI | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020