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Organization

HILLMAN OPCO LLC

Active
Other names
Medilodge of Hillman
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
631 CARING ST, HILLMAN, MI 49746-8818
(989) 742-4581
(989) 742-3710
Mailing address
7400 NEW LA GRANGE RD STE 400, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-0650

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780025288
MI
Enumeration date
07/12/2013
Last updated
07/01/2025
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