# EAST LANSING OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medilodge of Campus Area
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730546250
- **Authorized official:** KRISTINE RANEL KIRK (DELEGATED OFFICIAL)
- **Authorized official phone:** (417) 846-3521

## Contact information

- **Practice address:** 2815 NORTHWIND DR, EAST LANSING, MI 48823-5003
- **Practice address phone:** (517) 332-0817
- **Practice address fax:** (517) 336-1221
- **Mailing address:** 7400 NEW LA GRANGE RD STE 400, LOUISVILLE, KY 40222-4870
- **Mailing address phone:** (502) 429-8062
- **Mailing address fax:** (866) 360-1098

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2016
- **Last updated:** 05/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1730546250 | — | MI |