# DOUGLAS MI OPCO LLC

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

## Provider details

- **NPI number:** 1922623248
- **Authorized official:** BATYA GORELICK (VP OF ADMIN SERVICES)
- **Authorized official phone:** (269) 857-2141

## Contact information

- **Practice address:** 243 WILEY RD, DOUGLAS, MI 49406-5169
- **Practice address phone:** (269) 857-2141
- **Mailing address:** 440 SYLVAN AVE STE 240, ENGLEWOOD CLIFFS, NJ 07632-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 06/11/2020
- **Last updated:** 06/11/2020