Organization
ORCHARD GROVE HEATHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN CRAIG TSCHUDI (MANAGING MEMBER)
(502) 429-8062
Entity
Organization
Contact information
Practice address
1385 E EMPIRE AVE, BENTON HARBOR, MI 49022-2037
(269) 925-0033
(269) 925-2019
Mailing address
7400 NEW LAGRANGE RD STE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-5980
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4549277
—
MI
Enumeration date
11/02/2006
Last updated
08/22/2020
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