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Organization
ATRIUM HILLCREST LLC
Active
Organization
ATRIUM HILLCREST LLC
Active
Other names
CCG-Lakeshore, Inc., Hillcrest Nursing and Rehabilitation Community
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LOCKHART (CHIEF ACCOUNTING OFFICER)
(614) 416-0600
Entity
Organization
Contact information
Practice address
695 MITZI ST, NORTH MUSKEGON, MI 49445-3232
(231) 744-1641
(231) 744-9567
Mailing address
695 MITZI ST, NORTH MUSKEGON, MI 49445-3232
(231) 744-1641
(231) 744-9567
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
61-4040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09884
BCBS PROVIDER CODE
MI
05
—
60 2081901
—
MI
Enumeration date
07/12/2005
Last updated
03/03/2025
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