Medilodge Of Grand Blanc

LBN: Grand Blanc Opco, Llc
Medilodge Of Grand Blanc is an health care organization with primary practice located at 11941 Belsay Rd , Grand Blanc MI 48439-1702. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Grand Blanc Opco, Llc can be contacted via phone (810) 694-1970, or through Rogers, Stacey P via phone (502) 429-8062.

Contact Information

Primary practice address
11941 Belsay Rd Grand Blanc MI 48439-1702
Phone: (810) 694-1970
Fax: (810) 694-4081
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Stacey P
Phone: (502) 429-8062

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1609273648
LBN Legal business name Grand Blanc Opco, Llc
DBA Doing business as Medilodge Of Grand Blanc
Authorized official Rogers, Stacey P
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2014
Last updated Jan 22nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609273648 NPPES
Michigan MEDICAID 1609273648

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