# GRAND TRAVERSE PAVILIONS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1649304270
- **Authorized official:** EMILY BALL (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (231) 932-3063

## Contact information

- **Practice address:** 1000 PAVILIONS CIRCLE, TRAVERSE CITY, MI 49684
- **Practice address phone:** (231) 932-3000
- **Mailing address:** 1000 PAVILIONS CIRCLE, TRAVERSE CITY, MI 49684
- **Mailing address phone:** (231) 932-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 02/21/2024