| NPI | 1609273648 |
|---|---|
| Doing Business As | MEDILODGE OF GRAND BLANC |
| Entity Type | Organization |
| Authorized Contact | STACEY P ROGERS Chief Financial Officer 502-429-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2015-01-22 |