Organization
OPTALIS KINGSFORD OPCO LLC
Active
Other names
Optalis Health and Rehabilitation of Kingsford
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY USITALO (ADMINISTRATOR)
(906) 774-4805
Entity
Organization
Contact information
Practice address
1225 WOODWARD AVE, KINGSFORD, MI 49802-4312
(906) 774-4805
Mailing address
1225 WOODWARD AVE, KINGSFORD, MI 49802-4312
(906) 774-4805
(269) 279-6173
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
06/19/2026
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