# PILGRIM MANOR INC

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

## Provider details

- **NPI number:** 1982691564
- **Authorized official:** MRS. KAREN MESSICK MPA, LNHA (ADMINISTRATOR)
- **Authorized official phone:** (616) 458-1133

## Contact information

- **Practice address:** 2000 LEONARD ST NE, GRAND RAPIDS, MI 49505-5837
- **Practice address phone:** (616) 458-1133
- **Practice address fax:** (616) 458-0743
- **Mailing address:** 2000 LEONARD ST NE, GRAND RAPIDS, MI 49505-5837
- **Mailing address phone:** (616) 458-1133
- **Mailing address fax:** (616) 458-0743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 414230 | MI | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2081367 | — | MI |