| NPI | 1487731881 |
|---|---|
| Doing Business As | BORTZ ON GREEN LAKE |
| Entity Type | Organization |
| Authorized Contact | DONALD JAMES BORTZ President 586-759-5966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 634060) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |