Organization
GRAND TRAVERSE PAVILIONS HOME HEALTHCARE
Active
Parent organization
GRAND TRAVERSE PAVILIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAND TRAVERSE PAVILIONS
Authorized official
MR. KORVYN R HANSEN (ADMINISTRATOR/CEO)
(231) 932-3021
Entity
Organization
Contact information
Practice address
1000 PAVILLIONS CIR, TRAVERSE CITY, MI 49684-3198
(231) 932-3000
Mailing address
1000 PAVILLIONS CIR, TRAVERSE CITY, MI 49684-3198
(231) 932-3000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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