NPI 1023315421 · live from the CMS NPI Registry
Crg Lynwood, LLC
Skilled Nursing Facility in Adrian, MI. National Provider Identifier 1023315421, active.
NPI record
| NPI | 1023315421 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 730 Kimole Ln, Adrian, MI 49221 |
| Practice phone | 517-263-6771 |
| Mailing address | 4711 Golf Rd, Suite 200, Skokie, IL 60076 |
| Enumerated | February 21, 2011 |
| Last updated | December 17, 2014 |
| Authorized official | Abraham Gutnicki, Member |
| Other names | Lynwood Manor Healthcare Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.