Organization
LIVONIA SNF OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PRUITT (OFFICER)
(317) 288-4029
Entity
Organization
Contact information
Practice address
28550 FIVE MILE RD, LIVONIA, MI 48154-3866
(734) 427-8270
Mailing address
777 E MAIN ST STE 210, WESTFIELD, IN 46074-5301
(317) 288-4029
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
07/20/2023
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