| NPI | 1083347660 |
|---|---|
| Doing Business As | MEDILODGE OF GRAND RAPIDS |
| Entity Type | Organization |
| Authorized Contact | CRAIG A FLASHNER LLC Member 805-819-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2024-06-21 |