Organization
OPTALIS GRAND RAPIDS OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE CONNER (VP FINANCE)
(248) 277-5724
Entity
Organization
Contact information
Practice address
1950 32ND ST SE, GRAND RAPIDS, MI 49508-7909
(616) 452-5900
(615) 645-2427
Mailing address
25500 MEADOWBROOK RD STE 230, NOVI, MI 48375-1882
(248) 277-5724
(248) 692-4356
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
06/04/2024
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