# GENESYS CONVALESCENT CENTER-GRAND BLANC INC

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

## Provider details

- **NPI number:** 1922070085
- **Authorized official:** MR. ROBERT K STEVENS (PRESIDENT ADMINISTRATOR)
- **Authorized official phone:** (810) 694-1711

## Contact information

- **Practice address:** 8481 HOLLY ROAD, GRAND BLANC, MI 48439-1899
- **Practice address phone:** (810) 694-1711
- **Practice address fax:** (810) 694-9717
- **Mailing address:** 8481 HOLLY ROAD, GRAND BLANC, MI 48439-1899
- **Mailing address phone:** (810) 694-1711
- **Mailing address fax:** (810) 694-9717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 254190 | MI | Yes |

## Other

- **Enumeration date:** 02/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09706 | BLUE CROSS OF MICHIGAN | — |
| 01 | — | 1009706 | HEALTHPLUS OF MICHIGAN | — |
| 05 | — | 2152208 | — | MI |