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Organization

TRAVERSE CITY OPCO, LLC

Active
Other names
The Villa at Traverse Point
Organization subpart
No

Provider details

NPI number
Authorized official
MARCELLA GRAF (CFO)
(224) 470-2044
Entity
Organization

Contact information

Practice address
2828 CONCORD ST, TRAVERSE CITY, MI 49684-4618
(231) 941-1200
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
1700266780
MI
Enumeration date
06/04/2015
Last updated
11/04/2025
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