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Organization
ATRIUM GRAYLING LLC
Active
Organization
ATRIUM GRAYLING LLC
Active
Other names
Grayling 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
331 MEADOWS DR, GRAYLING, MI 49738-2016
(989) 348-2801
(989) 348-9201
Mailing address
5000 HAKES DR, SUITE 600, NORTON SHORES, MI 49441-5574
(231) 799-6870
(231) 799-0250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
20-4010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60 4144241
—
MI
01
—
S9519
BCBS PROVIDER CODE
MI
Enumeration date
07/12/2005
Last updated
02/13/2014
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