Organization
GREENRIDGE NURSING CENTER, INC
Active
Other names
Metron of Big Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J LINDSEY DOOD (EXECUTIVE VICE PRESIDENT CFO)
(616) 975-5287
Entity
Organization
Contact information
Practice address
725 FULLER AVE, BIG RAPIDS, MI 49307-2105
(231) 796-2631
(231) 796-3182
Mailing address
4630 PLAINFIELD AVENUE NE, SUITE 100, GRAND RAPIDS, MI 49525
(616) 975-5287
(616) 957-1556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
544020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154356
—
MI
01
—
9849
BLUE CROSS
MI
Enumeration date
08/11/2006
Last updated
12/10/2008
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