Organization
CLARE OPCO LLC
Active
Other names
Medilodge of Clare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE RANEL KIRK (DELEGATED OFFICIAL)
(417) 846-3521
Entity
Organization
Contact information
Practice address
600 E 4TH ST, CLARE, MI 48617-9207
(989) 386-7723
(989) 386-4100
Mailing address
7400 NEW LA GRANGE RD STE 400, LOUISVILLE, KY 40222-4870
(502) 429-8062
(866) 360-1098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659778868
—
MI
Enumeration date
12/03/2014
Last updated
05/28/2026
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