Organization
PETOSKEY OPCO, LLC
Active
Other names
The Villa at the Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (CFO)
(224) 470-2044
Entity
Organization
Contact information
Practice address
1500 SPRING ST, PETOSKEY, MI 49770-9295
(231) 347-5500
Mailing address
3755 CHASE AVE, SKOKIE, IL 60076-4008
(847) 440-2660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477933455
—
MI
Enumeration date
06/04/2015
Last updated
11/04/2025
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