| NPI | 1932997590 |
|---|---|
| Doing Business As | MEDILODGE OF LIVONIA |
| Entity Type | Organization |
| Authorized Contact | KRISTINE RANEL KIRK Delegated Official 417-846-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-10-23 |