Organization
GRAND BLANC OPCO LLC
Active
Other names
Medilodge of Grand Blanc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
(502) 429-0650
Entity
Organization
Contact information
Practice address
11941 BELSAY RD, GRAND BLANC, MI 48439-1702
(810) 694-1970
(810) 694-4081
Mailing address
7400 NEW LA GRANGE RD STE 400, LOUISVILLE, KY 40222-4870
(502) 429-8062
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
07/01/2025
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