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Shoreline Opco, LLC

Skilled Nursing Facility in Sterling Heights, MI. Organization (NPI-2).

NPI number1801302187
StatusActive
Last updated in NPPESFeb 13, 2018

Details

NPI
1801302187
Entity type
Organization (NPI-2)
Legal business name
Shoreline Opco, LLC
Organization subpart
No
Enumeration date
Dec 21, 2017
Last updated
Feb 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Other names

  • Medilodge Of Shoreline (Doing Business As)

Practice location

14900 Shoreline Dr
Sterling Heights, MI 48313-2251

Phone 586-247-4700 · Fax 586-247-1499

Mailing address

7400 New La Grange Rd Ste 100
Louisville, KY 40222-4870

Phone 502-429-8062 · Fax 502-429-0650

Authorized official

Stacey Paul Rogers
Chief Financial Officer
5024298062

Is something wrong?

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Other Skilled Nursing Facility providers in Sterling Heights, MI

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