| NPI | 1942936299 |
|---|---|
| Doing Business As | MEDILODGE OF GRAND RAPIDS |
| Entity Type | Organization |
| Authorized Contact | STACEY PAUL ROGERS CFO 502-429-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-08-04 |