# LIVONIA OPCO LLC

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

## Provider details

- **NPI number:** 1932997590
- **Authorized official:** KRISTINE RANEL KIRK (DELEGATED OFFICIAL)
- **Authorized official phone:** (417) 846-3521

## Contact information

- **Practice address:** 29270 MORLOCK ST, LIVONIA, MI 48152-2044
- **Practice address phone:** (248) 475-0555
- **Practice address fax:** (248) 477-5391
- **Mailing address:** 29270 MORLOCK ST, LIVONIA, MI 48152-2044
- **Mailing address phone:** (248) 476-0555
- **Mailing address fax:** (248) 477-5391

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2025
- **Last updated:** 10/23/2025