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Organization
FRANKENMUTH OPCO, LLC
Active
Organization
FRANKENMUTH OPCO, LLC
Active
Other names
Medilodge of Frankenmuth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
(502) 429-0650
Entity
Organization
Contact information
Practice address
500 W GENESEE ST, FRANKENMUTH, MI 48734-1313
(989) 652-6101
(989) 652-3787
Mailing address
7400 NEW LA GRANGE RD, SUITE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-0650
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427455641
—
MI
Enumeration date
12/03/2014
Last updated
07/16/2015
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