Organization
GRAND TRAVERSE PAVILIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY BALL (BUSINESS OFFICE MANAGER)
(231) 932-3063
Entity
Organization
Contact information
Practice address
1000 PAVILIONS CIRCLE, TRAVERSE CITY, MI 49684
(231) 932-3000
Mailing address
1000 PAVILIONS CIRCLE, TRAVERSE CITY, MI 49684
(231) 932-3000
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30395
BLUE CROSS NUMBER
—
Enumeration date
03/15/2007
Last updated
02/21/2024
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