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Organization

EAST LANSING OPCO, LLC

Active
Other names
Medilodge of Campus Area
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
2815 NORTHWIND DR, EAST LANSING, MI 48823-5003
(517) 332-0817
(517) 336-1221
Mailing address
7400 NEW LA GRANGE RD STE 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
01/28/2016
Last updated
01/28/2016
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