Organization
PILGRIM MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN MESSICK MPA, LNHA (ADMINISTRATOR)
(616) 458-1133
Entity
Organization
Contact information
Practice address
2000 LEONARD ST NE, GRAND RAPIDS, MI 49505-5837
(616) 458-1133
(616) 458-0743
Mailing address
2000 LEONARD ST NE, GRAND RAPIDS, MI 49505-5837
(616) 458-1133
(616) 458-0743
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
414230
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2081367
—
MI
Enumeration date
09/29/2005
Last updated
08/22/2020
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