Organization
DOUGLAS MI OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BATYA GORELICK (VP OF ADMIN SERVICES)
(269) 857-2141
Entity
Organization
Contact information
Practice address
243 WILEY RD, DOUGLAS, MI 49406-5169
(269) 857-2141
Mailing address
440 SYLVAN AVE STE 240, ENGLEWOOD CLIFFS, NJ 07632-2700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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