Organization
LIVONIA OPCO LLC
Active
Other names
Medilodge of Livonia
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE RANEL KIRK (DELEGATED OFFICIAL)
(417) 846-3521
Entity
Organization
Contact information
Practice address
29270 MORLOCK ST, LIVONIA, MI 48152-2044
(248) 475-0555
(248) 477-5391
Mailing address
29270 MORLOCK ST, LIVONIA, MI 48152-2044
(248) 476-0555
(248) 477-5391
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
10/23/2025
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