Organization
ATRIUM GRAYLING LLC
Active
Other names
Grayling Nursing and Rehabilitation Community
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LOCKHART (CHIEF ACCOUNTING OFFICER)
(614) 416-0600
Entity
Organization
Contact information
Practice address
331 MEADOWS DR, GRAYLING, MI 49738-2016
(989) 348-2801
(989) 348-9201
Mailing address
5000 HAKES DR, SUITE 600, NORTON SHORES, MI 49441-5574
(231) 799-6870
(231) 799-0250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
20-4010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60 4144241
—
MI
01
—
S9519
BCBS PROVIDER CODE
MI
Enumeration date
07/12/2005
Last updated
02/13/2014
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