# ALLEGAN NURSING HOME, LLC

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

## Provider details

- **NPI number:** 1649296260
- **Authorized official:** J. LINDSEY DOOD (EXECUTIVE VICE PRESIDENT AND CFO)
- **Authorized official phone:** (616) 957-3957

## Contact information

- **Practice address:** 1200 ELY ST, ALLEGAN, MI 49010-9368
- **Practice address phone:** (269) 673-5494
- **Practice address fax:** (269) 673-2781
- **Mailing address:** 3075 ORCHARD VISTA DR SE, SUITE 100, GRAND RAPIDS, MI 49546-7069
- **Mailing address phone:** (616) 957-3957
- **Mailing address fax:** (616) 957-1556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 034040 | MI | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 11/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2831215 | — | MI |