Organization
GRAND RAPIDS OPCO, LLC
Active
Other names
Medilodge of Grand Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG A FLASHNER (LLC MEMBER)
(805) 819-3351
Entity
Organization
Contact information
Practice address
2000 LEONARD ST NE, GRAND RAPIDS, MI 49505-5837
(616) 458-1133
(616) 458-0743
Mailing address
7400 NEW LA GRANGE RD STE 400, LOUISVILLE, KY 40222-4870
(502) 429-8069
(866) 360-1098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
06/21/2024
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