# GREENVILLE CARE CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metron of Greenville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578575957
- **Authorized official:** MR. J LINDSEY DOOD (EXECUTIVE VICE PRESIDENT / CFO)
- **Authorized official phone:** (616) 975-5287

## Contact information

- **Practice address:** 828 E WASHINGTON ST, GREENVILLE, MI 48838-2056
- **Practice address phone:** (616) 754-7186
- **Practice address fax:** (616) 754-0702
- **Mailing address:** 4630 PLAINFIELD AVENUE NE, SUITE 100, GRAND RAPIDS, MI 49525
- **Mailing address phone:** (616) 957-3957
- **Mailing address fax:** (616) 957-1556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 594030 | MI | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 12/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1786250 | — | MI |
| 01 | — | 9657 | BLUE CROSS | MI |