Organization
THE MEDILODGE GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN DENEAN (CHIEF EXECUTIVE OFFICER)
(586) 752-5008
Entity
Organization
Contact information
Practice address
64500 VAN DYKE RD, WASHINGTON, MI 48095-2583
(586) 752-5008
(586) 752-7609
Mailing address
64500 VAN DYKE RD, WASHINGTON, MI 48095-2583
(586) 752-5008
(586) 752-7609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
05/01/2008
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