Organization
SAULT STE. MARIE OPCO, LLC
Active
Other names
Medilodge of Sault Ste. Marie
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
1011 MERIDIAN ST, SAULT SAINTE MARIE, MI 49783-2650
(906) 635-1518
Mailing address
7400 NEW LA GRANGE RD STE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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