Organization
HOWELL OPCO LLC
Active
Other names
Medilodge of Livingston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
(502) 429-8062
Entity
Organization
Contact information
Practice address
3003 W GRAND RIVER AVE, HOWELL, MI 48843-8539
(517) 546-4210
(517) 546-7661
Mailing address
7400 NEW LA GRANGE RD, SUITE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-0650
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
07/01/2025
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