Organization
FARMINGTON OPCO LLC
Active
Other names
Medilodge of Farmington
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
(502) 429-8062
Entity
Organization
Contact information
Practice address
34225 GRAND RIVER AVE, FARMINGTON, MI 48335-3440
(248) 477-7373
(248) 477-2888
Mailing address
7400 NEW LA GRANGE RD, SUITE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-0650
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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