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Organization

ALPENA OPCO LLC

Active
Other names
Medilodge of Alpena
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTINE RANEL KIRK (DELEGATED OFFICIAL)
(417) 846-3521
Entity
Organization

Contact information

Practice address
301 LONG RAPIDS RD, ALPENA, MI 49707-1317
(989) 356-2194
Mailing address
7400 NEW LA GRANGE RD STE 400, LOUISVILLE, KY 40222-4870
(502) 429-8062
(866) 360-1098

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891211264
MI
Enumeration date
08/17/2017
Last updated
05/28/2026
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