# LIVONIA SNF OPCO LLC

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

## Provider details

- **NPI number:** 1427974864
- **Authorized official:** NICHOLAS DESTEFANE (PRESIDENT)
- **Authorized official phone:** (314) 543-3800

## Contact information

- **Practice address:** 28550 FIVE MILE RD, LIVONIA, MI 48154-3866
- **Practice address phone:** (734) 427-8270
- **Mailing address:** 1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2026
- **Last updated:** 06/29/2026