Organization
CLARKSTON OPCO LLC
Active
Other names
Villa at Pine Place
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (CFO)
(224) 470-2044
Entity
Organization
Contact information
Practice address
4800 CLINTONVILLE RD, CLARKSTON, MI 48346-4297
(248) 674-0903
(248) 674-3431
Mailing address
3701 W LUNT AVE, LINCOLNWOOD, IL 60712-2615
(224) 470-2044
(224) 470-2952
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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