Organization
PACE NORTH
Active
Parent organization
GRAND TRAVERSE PAVILIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAND TRAVERSE PAVILIONS
Authorized official
SHERRIE A. MOSELER BSN, RN (EXECUTIVE DIRECTOR)
(231) 252-3814
Entity
Organization
Contact information
Practice address
2325 GARFIELD ROAD N., TRAVERSE CITY, MI 49686
(231) 252-3814
(231) 252-3750
Mailing address
2325 GARFIELD ROAD N., TRAVERSE CITY, MI 49686
(231) 252-3814
(231) 252-3750
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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