Organization
ATRIUM GLADWIN LLC
Active
Other names
Atrium Gladwin, Inc., Gladwin Nursing and Rehabilitation Community
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LOCKHART (CHIEF ACCOUNTING OFFICER)
(614) 416-0600
Entity
Organization
Contact information
Practice address
3270 PRATT LAKE RD, GLADWIN, MI 48624-8901
(989) 426-7275
(989) 426-8666
Mailing address
3270 PRATT LAKE RD, GLADWIN, MI 48624-8901
(989) 426-7275
(989) 426-8666
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
26-4020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09824
BCBS PROVIDER CODE
MI
05
—
60 3425426
—
MI
Enumeration date
07/12/2005
Last updated
03/03/2025
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